MARYLON WILLETTE BROOKS LPN
NPI 1932810355
Licensed Practical Nurse in Freeport, IL
- Individual
- Female
- Licensed Practical Nurse
About MARYLON BROOKS
This page provides the complete NPI Profile along with additional information for Marylon Brooks, a provider established in Freeport, Illinois with a medical specialization in Licensed Practical Nurse. The healthcare provider is registered in the NPI registry with number 1932810355 assigned on December 2022. The practitioner's primary taxonomy code is 164W00000X with license number 043110870 (IL). The provider is registered as an individual and her NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1932810355 Verify this NPI
- Provider Name
- MARYLON WILLETTE BROOKS LPN
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2170 W NAVAJO DR FREEPORT, IL 61032
- Location Phone
- (815) 908-9407
- Mailing Address
- 1723 W LAUREL ST FREEPORT, IL 61032
- Mailing Phone
- (815) 908-9407
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 12-06-2022
- Last Update Date
- 12-06-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Licensed Practical Nurse
- Taxonomy Code
- 164W00000X
- Type
- Nursing Service Providers
- License No.
- 043110870
- License State
- IL
- Taxonomy Description
- 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.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
FREEPORT, IL 61032
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1932810355, enumerated as an "individual" on December 06, 2022.
The provider is located at 2170 W NAVAJO DR FREEPORT, IL 61032 and the phone number is (815) 908-9407.
Licensed Practical Nurse with taxonomy code 164W00000X.
