MRS. BREANNE NICOLE MEKELBURG LPN
NPI 1972042570
Licensed Practical Nurse in Carterville, IL

Active since February 15, 2017
317 TEXAS AVE, CARTERVILLE, IL 62918(618) 203-3954 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Breanne Nicole Mekelburg Lpn NPPES

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

MRS. BREANNE NICOLE MEKELBURG LPN (NPI 1972042570) is an individual licensed practical nurse in Carterville, Illinois, licensed in Illinois (043118022) and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1972042570
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. BREANNE NICOLE MEKELBURGCredential: LPN
Location Address317 TEXAS AVECarterville, IL 62918-1430
Mailing Address317 Texas AveCarterville, IL 62918-1430 · (618) 203-3954
Sole ProprietorNo
Enumeration DateFebruary 15, 2017
NPI 1972042570 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 · 043118022
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.
317 TEXAS AVE, Carterville, IL 62918

Other Identifiers 1

Medicaid164W00000XIL

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanne Mekelburg's NPI number?

The NPI number for Breanne Mekelburg is 1972042570. It was assigned to this individual provider in the NPPES registry on February 15, 2017.

Where is Breanne Mekelburg located?

Breanne Mekelburg practices at 317 Texas Ave, Carterville, IL 62918. The listed phone number is (618) 203-3954.

What is Breanne Mekelburg's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Breanne Mekelburg was last updated on February 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.