Individual provider · Type 1 NPI

Nicole Brandonisio

Student in an Organized Health Care Education/Training Program · Gurnee, IL

NPI number 1285924613 Active

Practice location

1072 Boulevard View Ave
Gurnee, IL 60031-3700

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.

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About NPI 1285924613

Nicole Brandonisio's National Provider Identifier is 1285924613, issued on Apr 19, 2011. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Gurnee, IL. The record was last updated on Apr 19, 2011.