Individual provider · Type 1 NPI
Carli Ann Light, APRN, CNP
Pediatric Nurse Practitioner · Roanoke, IL
NPI number
1508622275
Active
Practice location
401 N Main St
Roanoke, IL 61561-7585
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | 209.028999 (IL) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 209028999 (IL) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1508622275
Carli Ann Light, APRN, CNP's National Provider Identifier is 1508622275, issued on Feb 21, 2024. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Roanoke, IL. The record was last updated on Oct 25, 2024.