Shannon Rae Spradlin, LPN
Individual provider Active NPI Licensed Practical Nurse · Davis, IL
NPI 1003104449 · NPPES record last updated Jul 19, 2011
Key facts
- NPI
- 1003104449
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 305838-031 (WI)
- Practice address
- 346 Corkhill CT
Davis, IL 61019-9519 - Phone
- (815) 520-3789
- NPI assigned
- Jul 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 305838-031 | WI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 305838-031 | WI | Yes |
Addresses
Primary practice location
346 Corkhill CT
Davis, IL 61019-9519
Mailing address
346 Corkhill CT
Davis, IL 61019-9519
Phone (815) 520-3789
Other names
- Shannon Rae Finch
Other providers in Davis, IL
- Elise Packer
- Rudolph Counseling
- Rebecca Rudolph
- Anita Jean Rumage
- Matthew Schroeder
- Susan Ann Watson
- Alanna Winterland
- Lisa Marie Zimmerman
All providers in Davis, IL · Licensed Practical Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.