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Dawn Martinez-uribe
Licensed Practical Nurse in Centralia, Illinois
NPI 1598239998

Dawn Martinez-uribe is a Licensed Practical Nurse based in Centralia, IL. Dawn Martinez-uribe practices in Centralia, IL. The NPI Number for Dawn Martinez-uribe is 1598239998 and holds a License No. (Illinois).

The current practice location address for Dawn Martinez-uribe is 904 E. Martin Luther King Drive, Centralia, IL and can be reached out via phone at 618-533-1391 and via fax at 618-533-0012.

Location: 904 E. Martin Luther King Drive, Centralia, IL, 62801-3058
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598239998
Provider Name
Dawn Martinez-uribe
Credential
Provider Entity Type
Individual
Gender
Female
Address
904 E. Martin Luther King Drive, Centralia, IL, 62801-3058
Phone Number
618-533-1391
Fax Number
618-533-0012
Provider Enumeration Date
01/18/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370915481007 05 IL
institution
Provider Business Practice Location Address Details
Address
904 E. Martin Luther King Drive
City
Centralia
State
Illinois
Zip
62801-3058
Phone Number
618-533-1391
Fax Number
618-533-0012
person
Provider Business Mailing Address Details
Address
904 E. Martin Luther King Drive
City
Centralia
State
Illinois
Zip
62801-3058
Phone Number
618-533-1391
Fax Number
618-533-0012
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
043.089787 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
(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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