Individual provider · Type 1 NPI
Stacy L. Hydrick, LPN
Licensed Practical Nurse · Winnebago, IL
NPI number
1619314549
Active
Practice location
310 N Benton St
Winnebago, IL 61088-8354
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 043.106224 (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.
About NPI 1619314549
Stacy L. Hydrick, LPN's National Provider Identifier is 1619314549, issued on Jun 1, 2013. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Winnebago, IL. The record was last updated on Jun 1, 2013.