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Mrs. Breanne Nicole Mekelburg, LPN
Licensed Practical Nurse in Carterville, Illinois
NPI 1972042570

Breanne Nicole Mekelburg is a Licensed Practical Nurse based in Carterville, IL. Breanne Nicole Mekelburg practices in Carterville, IL and has the professional credentials of LPN. The NPI Number for Breanne Nicole Mekelburg is 1972042570 and holds a License No. 043118022 (Illinois).

The current practice location address for Breanne Nicole Mekelburg is 317 Texas Ave, Carterville, IL and can be reached out via phone at 618-203-3954.

Location: 317 Texas Ave, Carterville, IL, 62918-1430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972042570
Provider Name
Breanne Nicole Mekelburg
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
317 Texas Ave, Carterville, IL, 62918-1430
Phone Number
618-203-3954
Fax Number
Provider Enumeration Date
02/15/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
164W00000X 05 IL
institution
Provider Business Practice Location Address Details
Address
317 Texas Ave
City
Carterville
State
Illinois
Zip
62918-1430
Phone Number
618-203-3954
Fax Number
person
Provider Business Mailing Address Details
Address
317 Texas Ave
City
Carterville
State
Illinois
Zip
62918-1430
Phone Number
618-203-3954
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
043118022 (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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