Unknown Individual – Registered Nurse, NPI 1790905362
Registered Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
4639 CHARLES ST
ROCKFORD, IL 61108
Phone: (815) 397-6100
Type: Mailing
10621 S HICKORY CT
BELOIT, WI 535119703
Phone: (608) 368-0328
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61108)
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