Breanna Lynnae Puccio, RN | |
11211 Hill Crest Ln, Marengo, IL 60152-8257 | |
(224) 539-7249 | |
Not Available |
Full Name | Breanna Lynnae Puccio |
---|---|
Gender | Female |
Speciality | Registered Nurse |
Location | 11211 Hill Crest Ln, Marengo, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912791625 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 108848030 (Wisconsin) | Secondary |
163W00000X | Registered Nurse | 041496642 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Breanna Lynnae Puccio, RN 11211 Hill Crest Ln, Marengo, IL 60152-8257 Ph: (224) 539-7249 | Breanna Lynnae Puccio, RN 11211 Hill Crest Ln, Marengo, IL 60152-8257 Ph: (224) 539-7249 |
Jennifer Kristen Leisch, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 323 Bailey Ct Apt 1, Marengo, IL 60152 Phone: 815-766-0318 | |
Madeline Meidl, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3117 Elizabeth St, Marengo, IL 60152 Phone: 815-276-7215 |