SHIRLEY POTTS NPI 1558935437

NPI Information

NPI: 1558935437
Provider Name: SHIRLEY POTTS
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
126 OAK ST
PEORIA, IL
ZIP 61602
Phone: (309) 690-7790
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Shirley Potts is a licensed practical nurse in Peoria, IL. The provider is 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. Shirley Potts NPI is 1558935437. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

126 OAK ST
PEORIA, IL
ZIP 61602-639
Phone: (309) 690-7790

The enumeration date for this NPI number is 5/16/2021 and was last updated on 5/16/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	164W00000X	Licensed Practical Nurse		043069474	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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