Wanda Pettye
Licensed Practical Nurse · Park Forest, IL
Practice location
3618 Western AvePark Forest, IL 60466-2126
- Phone
- (708) 228-0999
NPI record
- NPI
- 1780998674
- Entity type
- Individual (Type 1)
- Enumeration date
- August 3, 2010
- Last updated
- August 3, 2010
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X |
043071327 | IL |
About Wanda Pettye
Wanda Pettye is a healthcare provider registered in the NPI registry with the primary taxonomy Licensed Practical Nurse (code 164W00000X). The practice location is 3618 Western Ave, Park Forest, IL 60466-2126. The NPI number 1780998674 was assigned on August 3, 2010 and the record was last updated on August 3, 2010.
Wanda Pettye lists a license in the registry: #043071327 (IL) for Licensed Practical Nurse. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Wanda Pettye?
The NPI number is 1780998674.
What is the phone number of Wanda Pettye?
The phone number listed for the practice location is (708) 228-0999.
Where is Wanda Pettye located?
3618 Western Ave, Park Forest, IL 60466-2126.
What is the taxonomy code for Wanda Pettye?
The primary taxonomy code is 164W00000X – Licensed Practical Nurse.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Licensed Practical Nurse providers in Park Forest
- Lakeisha Warner, LPN56 Apple Ln
- Olatokunbo Owokoniran3030 Western Ave