Bobbie Seaney, LPN

Individual provider Active NPI Licensed Practical Nurse · Casey, IL

NPI 1457776304 · NPPES record last updated Mar 2, 2014

Key facts

NPI
1457776304
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
043.089358 (IL)
Practice address
5 W Jackson Ave
Casey, IL 62420-1360
Phone
(217) 821-4456
NPI assigned
Mar 2, 2014
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
043.089358ILMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 043.089358 IL Yes

Addresses

Primary practice location

5 W Jackson Ave
Casey, IL 62420-1360

Mailing address

5 W Jackson Ave
Casey, IL 62420-1360
Phone (217) 821-4456

Other providers in Casey, IL

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

Sources for this page

Verify at the official NPI Registry.