Mrs Breanne Nicole Mekelburg, LPN | |
317 Texas Ave, Carterville, IL 62918-1430 | |
(618) 203-3954 | |
Not Available |
Full Name | Mrs Breanne Nicole Mekelburg |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 317 Texas Ave, Carterville, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972042570 | NPI | - | NPPES |
164W00000X | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 043118022 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mrs Breanne Nicole Mekelburg, LPN 317 Texas Ave, Carterville, IL 62918-1430 Ph: (618) 203-3954 | Mrs Breanne Nicole Mekelburg, LPN 317 Texas Ave, Carterville, IL 62918-1430 Ph: (618) 203-3954 |
Jennifer Sue Derosia, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 403 Municipal Dr, Carterville, IL 62918 Phone: 855-608-3560 Fax: 618-956-9349 | |
Jacob Kierbs, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1216 Hummingbird Ct, Carterville, IL 62918 Phone: 217-855-1760 | |
Caleb Pennock, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 4474 Old Route 13, Carterville, IL 62918 Phone: 618-889-7076 | |
Mrs. Angela Congiardo, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 713 Vermont Rd, Carterville, IL 62918 Phone: 618-694-3963 |