Individual provider · Type 1 NPI
Genevieve San Nicolas, APRN, AGACNP-BC, DNP
Nurse Practitioner · Chicago, IL
Practice location
251 E Huron St Ste 5-704
Chicago, IL 60611-2908
Fax (312) 926-8341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209032944 (IL) |
| Critical Care Medicine Nurse Practitioner | 363LC0200X | 9363062 (FL) |
| Family Nurse Practitioner | 363LF0000X | 9363092 (FL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1174090500
Genevieve San Nicolas, APRN, AGACNP-BC, DNP's National Provider Identifier is 1174090500, issued on Oct 24, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Dec 19, 2025.