IndividualActive
Eydie Gass
NPI 1699409060 · Licensed Practical Nurse · Centralia, IL
Eydie Gass is a Licensed Practical Nurse provider in Centralia, IL (NPI 1699409060).
Provider details
- NPI number
- 1699409060
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 043.088069 (IL)
Practice location
904 M L King Dr
Centralia, IL 62801-3058
Phone: (618) 533-1391
Street-level locationGet directions
Mailing address
904 M L King Dr
Centralia, IL 62801-3058
Registry dates
- Enumerated
- 2022-07-12
- Last updated
- 2022-07-12
- Certified
- 2022-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.