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Contact Information

AUDRA RUSHFORTH
2200 E WASHINGTON ST
BLOOMINGTON, IL61701-4364
 Phone: 309-662-3311
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Emergency

364SE0003X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for AUDRA RUSHFORTH · (Female)

NPI # 1467877407
Status Active
Credentials
Entity Individual
Enumeration date 02/27/2014
Last updated 06/28/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • IL License # 209.011261
  • IL License # 209011261
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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