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Wanda Pettye
Licensed Practical Nurse in Park Forest, Illinois
NPI 1780998674

Wanda Pettye is a Licensed Practical Nurse based in Park Forest, IL. Wanda Pettye practices in Park Forest, IL. The NPI Number for Wanda Pettye is 1780998674 and holds a License No. 043071327 (Illinois).

The current practice location address for Wanda Pettye is 3618 Western Ave, Park Forest, IL and can be reached out via phone at 708-228-0999.

Location: 3618 Western Ave, Park Forest, IL, 60466-2126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780998674
Provider Name
Wanda Pettye
Credential
Provider Entity Type
Individual
Gender
Female
Address
3618 Western Ave, Park Forest, IL, 60466-2126
Phone Number
708-228-0999
Fax Number
Provider Enumeration Date
08/03/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3618 Western Ave
City
Park Forest
State
Illinois
Zip
60466-2126
Phone Number
708-228-0999
Fax Number
person
Provider Business Mailing Address Details
Address
3618 Western Ave
City
Park Forest
State
Illinois
Zip
60466-2126
Phone Number
708-228-0999
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043071327 (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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