Individual provider · Type 1 NPI

Maria Medina

Licensed Practical Nurse · Trout Valley, IL

NPI number 1144085986 Active

Practice location

256 Stonegate Rd
Trout Valley, IL 60013-2524

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X043082841 (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.

2 other providers at this address

About NPI 1144085986

Maria Medina's National Provider Identifier is 1144085986, issued on Feb 20, 2024. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Trout Valley, IL. The record was last updated on Feb 20, 2024.