Individual provider · Type 1 NPI
Nicole Lynn Fatka
Student in an Organized Health Care Education/Training Program · Gilman, IL
NPI number
1073048468
Active
Practice location
318 N Thomas St
Gilman, IL 60938-1352
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist | 246Z00000X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1073048468
Nicole Lynn Fatka's National Provider Identifier is 1073048468, issued on Apr 24, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gilman, IL. The record was last updated on Apr 24, 2017.