NPI 1396881819
Dawn Amy Travelstead, LPN
Practice location
- Address
- 988 N Illinois Route 3, Waterloo, IL 62298-1000
- Phone
- (618) 939-4444
- Fax
- (618) 939-4181
- Mailing address
- 211 Dale St, Waterloo, IL 62298-1404
Registered specialties
Licensed Practical Nurse
Primary
Registry record
- NPI
- 1396881819
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Jan 2007
- Record last updated
- 6 Apr 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.