Individual provider · Type 1 NPI

Kaylee Nordholm

Licensed Practical Nurse · Rock Island, IL

NPI number 1083087720 Active

Practice location

4016 9th St
Rock Island, IL 61201-6722

Mailing address

1808 14th St
Silvis, IL 61282-1985

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043113969 (IL)

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.

13 other providers at this address

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About NPI 1083087720

Kaylee Nordholm's National Provider Identifier is 1083087720, issued on Nov 3, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Rock Island, IL. The record was last updated on Nov 3, 2015.