Individual provider · Type 1 NPI
Tarissa La Shell Stanciel, RN
Maternal Newborn Registered Nurse · Bellwood, IL
NPI number
1699314310
Active
Practice location
932 23rd Ave
Bellwood, IL 60104-2501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Maternal Newborn Registered Nurse Primary | 163WM0102X | 041300689 (IL) |
Maternal Newborn Registered Nurse: Definition to come...
About NPI 1699314310
Tarissa La Shell Stanciel, RN's National Provider Identifier is 1699314310, issued on Dec 28, 2019. The primary taxonomy on file is Maternal Newborn Registered Nurse (163WM0102X), and the practice location is in Bellwood, IL. The record was last updated on Dec 28, 2019.