Brenda Drone, LPN

Individual provider Active NPI Licensed Practical Nurse · Eldorado, IL

NPI 1194084186 · NPPES record last updated May 10, 2012

Key facts

NPI
1194084186
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
043.033831 (IL)
Practice address
1412 US Highway 45 N
Eldorado, IL 62930-3766
Phone
(618) 273-3326
Fax
(618) 273-3585
NPI assigned
May 10, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
043.033831ILMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 043.033831 IL Yes

Addresses

Primary practice location

1412 US Highway 45 N
Eldorado, IL 62930-3766

Mailing address

1412 US Highway 45 N
Eldorado, IL 62930-3766
Phone (618) 273-3326

Other providers in Eldorado, IL

All providers in Eldorado, IL · Licensed Practical Nurse in Illinois

Sources for this page

Verify at the official NPI Registry.