Shannon Rae Spradlin, LPN is a
Licensed Practical Nurse based in Davis, Illinois. Shannon Rae Spradlin is licensed to practice in Wisconsin (license number 305838-031) and her current practice location is
346 Corkhill Ct, Davis, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 520-3789.
NPI number for Shannon Rae Spradlin is 1003104449 and her current mailing address is 346 Corkhill Ct, Davis, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003104449.
Provider's Profile
Full Name | Shannon Rae Spradlin |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 346 Corkhill Ct, Davis, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1003104449
- Provider Enumeration Date: 07/19/2011
- Last Update Date: 07/19/2011
Medical Identifiers
Medical identifiers for Shannon Rae Spradlin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003104449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 305838-031 (Wisconsin) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Rae Spradlin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Rae Spradlin, LPN 346 Corkhill Ct, Davis, IL 61019-9519 Ph: (815) 520-3789 | Shannon Rae Spradlin, LPN 346 Corkhill Ct, Davis, IL 61019-9519 Ph: (815) 520-3789 |
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