NPI 1003104449

Shannon Rae Spradlin, LPN

Practitioner Licensed Practical Nurse Davis, IL

Practice location

Address: 346 Corkhill CT, Davis, IL 61019-9519
Phone: (815) 520-3789

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 305838-031 (WI)

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Registry record

NPI: 1003104449
Entity type: Individual
Sex (as registered): Female
NPI issued: 19 Jul 2011
Record last updated: 19 Jul 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.