IndividualActive
Airn Etherton, FNP-BC
NPI 1114115920 · Family Nurse Practitioner · Springfield, IL
Provider details
- NPI number
- 1114115920
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 209006215 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
520 N 4th St
Springfield, IL 62702-5238
Phone: (217) 757-8100
Fax: (217) 757-8161
Approximate (ZIP-level) locationGet directions
Mailing address
520 N 4th St
Springfield, IL 62702-5238
Registry dates
- Enumerated
- 2007-10-05
- Last updated
- 2020-10-21
- Certified
- 2020-10-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.