Individual provider · Type 1 NPI
Charles Robert Sanders, RN
Administrator Registered Nurse · Carterville, IL
NPI number
1255811964
Active
Practice location
118 Timber Trl
Carterville, IL 62918-2377
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Administrator Registered Nurse Primary | 163WA2000X | 041281095 (IL) |
Administrator Registered Nurse: Definition to come...
About NPI 1255811964
Charles Robert Sanders, RN's National Provider Identifier is 1255811964, issued on Aug 21, 2018. The primary taxonomy on file is Administrator Registered Nurse (163WA2000X), and the practice location is in Carterville, IL. The record was last updated on Aug 21, 2018.