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Beth Angle
Licensed Practical Nurse in Centralia, Illinois
NPI 1639683824

Beth Angle is a Licensed Practical Nurse based in Centralia, IL. Beth Angle practices in Centralia, IL. The NPI Number for Beth Angle is 1639683824 and holds a License No. 043123661 (Illinois).

The current practice location address for Beth Angle 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
1639683824
Provider Name
Beth Angle
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
11/27/2017
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
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043123661 (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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