Doctor Name: | MRS. BRANDI WOOD |
NPI Number: | 1598998981 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | 043074814 |
Business Practice Address: | 900 W Temple Ave Suite 101 Effingham, IL - 624012121 |
Business Phone Number: | 2173472500 |
Business Fax Number: | 2173429775 |
Mailing Address: | Po Box 1139, EFFINGHAM |
State: | IL |
Postal Code: | 624011139 |
Phone Number: | 2173472500 |
Fax Number: | 2173429775 |
NPI Enumeration Date: | 09/01/2009 |
NPI Last Update Date: | 09/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 043074814 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy 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. |