ELISABETH ROSE MUDD
NPI 1912834334
Student in an Organized Health Care Education/Training Program in Edwardsville, IL

Active since May 07, 2026
1 HAIRPIN DRIVE, EDWARDSVILLE, IL 62026(618) 650-3956 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elisabeth Rose Mudd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELISABETH ROSE MUDD (NPI 1912834334) is an individual student in an organized health care education/training program in Edwardsville, Illinois, licensed in Illinois (39) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1912834334
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELISABETH ROSE MUDD
Location Address1 HAIRPIN DRIVEEdwardsville, IL 62026-0001
Mailing Address1 Hairpin DriveEdwardsville, IL 62026-0001 · (618) 650-3956
Sole ProprietorNo
Enumeration DateMay 7, 2026
NPPES CertifiedMay 7, 2026
NPI 1912834334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in IL · 39
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1 HAIRPIN DRIVE, Edwardsville, IL 62026

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Nurse Practitioner (Family)
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Student in an Organized Health Care Education/Training Program
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Registered Nurse
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026
Nurse Practitioner
1 HAIRPIN DRIVE
EDWARDSVILLE, IL 62026

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elisabeth Mudd's NPI number?

The NPI number for Elisabeth Mudd is 1912834334. It was assigned to this individual provider in the NPPES registry on May 7, 2026.

Where is Elisabeth Mudd located?

Elisabeth Mudd practices at 1 Hairpin Drive, Edwardsville, IL 62026. The listed phone number is (618) 650-3956.

What is Elisabeth Mudd's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Elisabeth Mudd was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.