Individual provider · Type 1 NPI
Marykay Petges, RN
Pediatric Registered Nurse · Poplar Grove, IL
NPI number
1295938645
Active
Practice location
101 Birch Dr SW
Poplar Grove, IL 61065-8962
Fax (815) 765-0971
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Registered Nurse Primary | 163WP0200X | None listed |
Pediatric Registered Nurse: Definition to come...
About NPI 1295938645
Marykay Petges, RN's National Provider Identifier is 1295938645, issued on Jun 5, 2007. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Poplar Grove, IL. The record was last updated on Jul 8, 2007.