Individual provider · Type 1 NPI
Haleigh Ranae Nicholson
Family Nurse Practitioner · Danville, IL
NPI number
1205429503
Active
Practice location
3653 N. Vermilion Street
Danville, IL 61832
Mailing address
615 S Oakwood St
Oakwood, IL 61858-9571
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209022381 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1205429503
Haleigh Ranae Nicholson's National Provider Identifier is 1205429503, issued on Feb 17, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Danville, IL. The record was last updated on Mar 11, 2021.