Rockford Rn First Assistant, PC
Registered Nurse, Registered Nurse First Assistant in Rockford, IL. Organization (NPI-2).
NPI number1174530794
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1174530794
- Entity type
- Organization (NPI-2)
- Legal business name
- Rockford Rn First Assistant, PC
- Organization subpart
- No
- Enumeration date
- Aug 3, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | – | – | Yes |
Practice location
6785 Weaver RdSte D
Rockford, IL 61114-8055
Phone 920-451-8142
Mailing address
6785 Weaver RdSte D
Rockford, IL 61114-8055
Phone 920-451-8142
Authorized official
Susan R Kutz
President
9204518142
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All 9 Registered Nurse First Assistant providers in Rockford · All 5,035 providers in Rockford
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