NPI 1063669661

Tilitha S Shawgo

Practitioner Acute Care Clinical Nurse Specialist Springfield, IL

Practice location

Address: 751 N Rutledge St, Springfield, IL 62702-4909
Phone: (217) 545-4421
Mailing address: PO Box 19638, Springfield, IL 62794-9638

Registered specialties

Acute Care Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SA2100X Licence 209.001606 (IL)

Other Clinical Nurse Specialist providers in Illinois →

Registry record

NPI: 1063669661
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Aug 2008
Record last updated: 26 Aug 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.