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Tameco Booth
Licensed Practical Nurse in Alton, Illinois
NPI 1104204395

Tameco Booth is a Licensed Practical Nurse based in West Frankfort, IL. Tameco Booth practices in Alton, IL. The NPI Number for Tameco Booth is 1104204395 and holds a License No. 043.117905 (Illinois).

The current practice location address for Tameco Booth is 2615 Edwards St, Alton, IL and can be reached out via phone at 618-462-2331 and via fax at 618-462-7160.

Location: 2615 Edwards St, Alton, IL, 62896-2210
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104204395
Provider Name
Tameco Booth
Credential
Provider Entity Type
Individual
Gender
Female
Address
2615 Edwards St, Alton, IL, 62896-2210
Phone Number
618-462-2331
Fax Number
618-462-7160
Provider Enumeration Date
05/08/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2615 Edwards St
City
Alton
State
Illinois
Zip
62002-3915
Phone Number
618-462-2331
Fax Number
618-462-7160
person
Provider Business Mailing Address Details
Address
2615 Edwards St
City
Alton
State
Illinois
Zip
62002-3915
Phone Number
618-462-2331
Fax Number
618-462-7160
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043.117905 (Illinois)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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