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Chanda Brock, LPN
Licensed Practical Nurse in Swansea, Illinois
NPI 1598050924

Chanda Brock is a Licensed Practical Nurse based in Swansea, IL. Chanda Brock practices in Swansea, IL and has the professional credentials of LPN. The NPI Number for Chanda Brock is 1598050924 and holds a License No. 2005009072 (Illinois).

The current practice location address for Chanda Brock is 10 Edwards Dr Apt 5, Swansea, IL and can be reached out via phone at 618-570-1401. You can also correspond with Chanda Brock through the mailing address at 10 EDWARDS DR APT 5, SWANSEA, IL - 62226-8204 (mailing address contact number: 618-570-1401).

Location: 10 Edwards Dr Apt 5, Swansea, IL, 62226-8204
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598050924
Provider Name
Chanda Brock
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
10 Edwards Dr Apt 5, Swansea, IL, 62226-8204
Phone Number
618-570-1401
Fax Number
Provider Enumeration Date
06/14/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10 Edwards Dr Apt 5
City
Swansea
State
Illinois
Zip
62226-8204
Phone Number
618-570-1401
Fax Number
person
Provider Business Mailing Address Details
Address
10 Edwards Dr Apt 5
City
Swansea
State
Illinois
Zip
62226-8204
Phone Number
618-570-1401
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
2005009072 (Missouri)
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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