Individual provider · Type 1 NPI
Wanda Pettye
Licensed Practical Nurse · Park Forest, IL
NPI number
1780998674
Active
Practice location
3618 Western Ave
Park Forest, IL 60466-2126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 043071327 (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.
Other licensed practical nurse providers in Park Forest
About NPI 1780998674
Wanda Pettye's National Provider Identifier is 1780998674, issued on Aug 3, 2010. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Park Forest, IL. The record was last updated on Aug 3, 2010.