Light, Carli Ann

Light, Carli Ann is an individual health care provider with primary practice located at 401 N Main St , Roanoke IL 61561-7585. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Light, Carli Ann can be contacted via phone (309) 923-2661.

Contact Information

Primary practice address
401 N Main St Roanoke IL 61561-7585
Phone: (309) 923-2661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 209.028999 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209028999 Illinois

Profile Details

NPI number 1508622275
LBN Legal business name Light, Carli Ann
Credentials APRN, CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2024
Last updated May 27th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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