Individual provider · Type 1 NPI
Nicole Brandi Pedtke, FNP
Family Nurse Practitioner · Ashley, IL
NPI number
1326664111
Active
Practice location
5680 Indian Trail Rd
Ashley, IL 62808-2527
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209021411 (IL) |
Family Nurse Practitioner: Definition to come...
About NPI 1326664111
Nicole Brandi Pedtke, FNP's National Provider Identifier is 1326664111, issued on Jun 17, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ashley, IL. The record was last updated on Jun 23, 2020.