Whalio Doctors

NPI 1003917162

Autumn Brooke Boyd, LPN

Practitioner Licensed Practical Nurse Du Quoin, IL

Practice location

Address
119 Gas Plant Road Rea Clinic Du Quoin, Du Quoin, IL 62832
Phone
(618) 542-8702
Fax
(618) 542-8792
Mailing address
PO Box 155 Rea Clinic, Christopher, IL 62822

Registered specialties

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X

Registry record

NPI
1003917162
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Sep 2006
Record last updated
8 Jul 2007

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.