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Mrs. Mary J Wallin, LPN
Licensed Practical Nurse in Effingham, Illinois
NPI 1639408503

Mary J Wallin is a Licensed Practical Nurse based in Effingham, IL. Mary J Wallin practices in Effingham, IL and has the professional credentials of LPN. The NPI Number for Mary J Wallin is 1639408503 and holds a License No. 043051122 (Illinois).

The current practice location address for Mary J Wallin is 300 N Maple St, Effingham, IL and can be reached out via phone at 217-342-4151 and via fax at 217-342-4190.

Location: 300 N Maple St, Effingham, IL, 62401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639408503
Provider Name
Mary J Wallin
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
300 N Maple St, Effingham, IL, 62401
Phone Number
217-342-4151
Fax Number
217-342-4190
Provider Enumeration Date
12/23/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
043051122 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
300 N Maple St
City
Effingham
State
Illinois
Zip
62401-2003
Phone Number
217-342-4151
Fax Number
217-342-4190
person
Provider Business Mailing Address Details
Address
300 N Maple St
City
Effingham
State
Illinois
Zip
62401-2003
Phone Number
217-342-4151
Fax Number
217-342-4190
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043051122 (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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