Individual
BRENDA WHITLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1412 US HIGHWAY 45 N, ELDORADO, IL 62930-3766
(618) 273-3326
Mailing address
1412 US HIGHWAY 45 N, ELDORADO, IL 62930-3766
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041-319616
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041-319616
NURSING LICENSE
IL
Enumeration date
11/03/2017
Last updated
11/03/2017
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