Pamela Ann Stephens I, LPN

Individual provider Active NPI Licensed Practical Nurse · Rock Falls, IL

NPI 1871702381 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1871702381
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
Practice address
1602 6TH Ave
Rock Falls, IL 61071-2809
Phone
(815) 626-3683
NPI assigned
May 21, 2007
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
043-040458ILMDLicensed Practical Nurse

Specialties & licenses

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

Addresses

Primary practice location

1602 6TH Ave
Rock Falls, IL 61071-2809

Mailing address

1602 6TH Ave
Rock Falls, IL 61071-2809
Phone (815) 626-3683

Other providers in Rock Falls, IL

All providers in Rock Falls, IL · Licensed Practical Nurse in Illinois

Sources for this page

Verify at the official NPI Registry.