MARTHA CANTRELL LPN - NPI 1649971433 - Licensed Practical Nurse in Carbondale, IL

Q: What is the provider's specialty?

The provider's specialty is Licensed Practical Nurse with taxonomy code 164W00000X.

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About Martha Cantrell Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARTHA CANTRELL LPN (NPI 1649971433) is an individual licensed practical nurse in Carbondale, Illinois, licensed in Illinois (043081887) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1649971433

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameMARTHA CANTRELLCredential: LPN

Location Address1130 E WALNUT ST STE 100Carbondale, IL 62901-5007

Mailing Address601 Callie CtHerrin, IL 62948-3055 · (815) 573-1303

Phone(618) 351-1031

Sole ProprietorNo

Enumeration DateMarch 17, 2023

NPPES CertifiedMarch 17, 2023

✔ NPI 1649971433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in IL · 043081887

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

1130 E WALNUT ST STE 100, Carbondale, IL 62901

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Frequently Asked Questions

What is Martha Cantrell's NPI number?

The NPI number assigned to this healthcare provider is 1649971433, enumerated as an "individual" on March 17, 2023.

Where is the provider located?

The provider is located at 1130 E WALNUT ST STE 100 CARBONDALE, IL 62901 and the phone number is (618) 351-1031.

What is the provider's specialty?

Licensed Practical Nurse with taxonomy code 164W00000X.