Provider Demographics
NPI:1396703815
Name:SCHILB, ELISE E (CRNFA)
Entity type:Individual
Prefix:
First Name:ELISE
Middle Name:E
Last Name:SCHILB
Suffix:
Gender:F
Credentials:CRNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2825 18TH STREET C
Mailing Address - Street 2:
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-5255
Mailing Address - Country:US
Mailing Address - Phone:309-762-7821
Mailing Address - Fax:
Practice Address - Street 1:2825 18TH STREET C
Practice Address - Street 2:
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-5255
Practice Address - Country:US
Practice Address - Phone:309-762-7821
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL364SP2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP2800XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPerioperative