Individual provider · Type 1 NPI

Brittany Widebrook, PN

Licensed Practical Nurse · Hannibal, MO

NPI number 1003454570 Active

Practice location

141 Communication Dr
Hannibal, MO 63401-3670

Fax (573) 603-1462

Mailing address

118 N 2nd St Ste 200
St. Charles, MO 63301-2894

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X2019037646 (MO)

Licensed Practical Nurse: 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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About NPI 1003454570

Brittany Widebrook, PN's National Provider Identifier is 1003454570, issued on Dec 16, 2019. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Hannibal, MO. The record was last updated on Dec 16, 2019.