Brandy Norris, LPN
Individual provider Active NPI Licensed Practical Nurse · Christopher, IL
NPI 1255876702 · NPPES record last updated Dec 19, 2016
Key facts
- NPI
- 1255876702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 043118177 (IL)
- Practice address
- 4241 Highway 14 W
Christopher, IL 62822-1037 - Phone
- (618) 724-2401
- NPI assigned
- Dec 19, 2016
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 043118177 | IL | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 043118177 | IL | Yes |
Addresses
Primary practice location
4241 Highway 14 W
Christopher, IL 62822-1037
Mailing address
PO Box 155
Christopher, IL 62822-0155
Phone (618) 724-2401
Other providers in Christopher, IL
- Robert Moskoff
- Frederica Jo Nanni
- Dennis B. Nelson
- Regan Leigh Nelson
- Amber Nicole Newman
- Jeffrey S Olkoski
- Tina Paul
- Paula Dawn Pedigo
- Whitney Phillips
- Kathryn Mary Potts
All providers in Christopher, 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 Dec 19, 2016. 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.