Individual provider · Type 1 NPI

Tameco Booth

Licensed Practical Nurse · Alton, IL

NPI number 1104204395 Active

Practice location

2615 Edwards St
Alton, IL 62002-3915

Fax (618) 462-7160

Mailing address

902 W Main St
West Frankfort, IL 62896-2210

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043.117905 (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.

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About NPI 1104204395

Tameco Booth's National Provider Identifier is 1104204395, issued on May 8, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Alton, IL. The record was last updated on Mar 27, 2018.