IndividualActive
Andrew Bifulk, ACNPC-AG
NPI 1780356089 · Acute Care Nurse Practitioner · Peoria, IL
Provider details
- NPI number
- 1780356089
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ACNPC-AG
- Sex
- Male
- Sole proprietor
- No
- License
- 209.024142 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
Osf Saint Francis Medical Center 530 Ne Glen Oak Avenue
Peoria, IL 61637-0001
Phone: (309) 655-2000
Approximate (ZIP-level) locationGet directions
Mailing address
2017 E Ridge Rd
Beloit, WI 53511-3914
Registry dates
- Enumerated
- 2021-10-04
- Last updated
- 2021-10-04
- Certified
- 2021-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.