“Licensed Practical Nurse” (Sullivan, IL)
Location: Sullivan, IL
Taxonomy: Licensed Practical Nurse.
A provider can have more than one taxonomy code. It is critical to register all applicable
taxonomy codes with NPPES and to use the correct taxonomy code to represent the
specific specialty when filing claims. This will assist in more accurate and timely
processing of claims.
1255168738
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AMANDA
SIDES
LPN
Practice Location Address:
MOULTRIE COUNTY COUNSELING CENTER
12 W HARRISON STREET
SULLIVAN IL
61951
Practice Phone:
217-728-4358