Provider Demographics
NPI:1083753180
Name:BATSON ARMSTRONG, CAROL A (CNP)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:A
Last Name:BATSON ARMSTRONG
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 W WINCHESTER RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-5357
Mailing Address - Country:US
Mailing Address - Phone:847-362-9050
Mailing Address - Fax:847-362-9486
Practice Address - Street 1:1850 WINCHESTER RD
Practice Address - Street 2:SUITE 220
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048
Practice Address - Country:US
Practice Address - Phone:847-362-9052
Practice Address - Fax:849-362-9486
Is Sole Proprietor?:No
Enumeration Date:2007-02-05
Last Update Date:2013-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209003079363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
P04548Medicare UPIN
IL579350Medicare ID - Type Unspecified