| Elizabeth Shallenberger, APRN | |
|
803 N 1st St, Vienna, IL 62995-1544 | |
| (618) 658-2811 | |
| (618) 833-6267 |
| Full Name | Elizabeth Shallenberger |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 803 N 1st St, Vienna, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104300094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 209018052 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209018052 (Illinois) | Primary |
| Entity Name | Rural Health, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982666384 PECOS PAC ID: 6800705427 Enrollment ID: O20040518000240 |
| Entity Name | Deaconess Illinois Union County Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184340408 PECOS PAC ID: 3072986025 Enrollment ID: O20230222002538 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Shallenberger, APRN 1520 Cedar Grove Rd, Buncombe, IL 62912-2052 Ph: (618) 201-5926 | Elizabeth Shallenberger, APRN 803 N 1st St, Vienna, IL 62995-1544 Ph: (618) 658-2811 |
Mrs. Alexandria Brown, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6665 State Route 146 E, Vienna, IL 62995 Phone: 618-658-8331 Fax: 618-658-4027 | |
Rachel Marie Rushing, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6695 Hwy 146 E, Vienna, IL 62995 Phone: 618-658-8371 Fax: 618-658-4069 | |
Dena C Taylor, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 803 N 1st St, Vienna, IL 62995 Phone: 618-658-2811 Fax: 618-658-2439 |