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Rebecka Anne Whitehead, LPN
Licensed Practical Nurse in Loves Park, Illinois
NPI 1295484012

Rebecka Anne Whitehead is a Licensed Practical Nurse based in Loves Park, IL. Rebecka Anne Whitehead practices in Loves Park, IL and has the professional credentials of LPN. The NPI Number for Rebecka Anne Whitehead is 1295484012 and holds a License No. 043.109145 (Illinois).

The current practice location address for Rebecka Anne Whitehead is 5135 Rockberry Rd, Loves Park, IL and can be reached out via phone at 608-295-3662.

Location: 5135 Rockberry Rd, Loves Park, IL, 61111-3389
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295484012
Provider Name
Rebecka Anne Whitehead
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
5135 Rockberry Rd, Loves Park, IL, 61111-3389
Phone Number
608-295-3662
Fax Number
Provider Enumeration Date
03/20/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
043.109145 01 IL LICENSED PRACTICAL NURSE LICENSE
institution
Provider Business Practice Location Address Details
Address
5135 Rockberry Rd
City
Loves Park
State
Illinois
Zip
61111-3389
Phone Number
608-295-3662
Fax Number
person
Provider Business Mailing Address Details
Address
5135 Rockberry Rd
City
Loves Park
State
Illinois
Zip
61111-3389
Phone Number
608-295-3662
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043.109145 (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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