NPI 1760211049

Malissa Sanders

Practitioner Licensed Practical Nurse Kewanee, IL

Practice location

Address: 110 N Burr Blvd, Kewanee, IL 61443-2214
Phone: (309) 852-5272
Fax: (309) 854-5575

Registered specialties

Licensed Practical Nurse Primary

Nursing Service Providers Taxonomy 164W00000X Licence 043110668 (IL)

Other Licensed Practical Nurse providers in Illinois →

Registry record

NPI: 1760211049
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jul 2024
Record last updated: 26 Jul 2024

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.