Individual provider · Type 1 NPI

Tina Nolan

Driver · Manhattan, IL

NPI number 1467110361 Active

Practice location

24813 S Mccormick Way
Manhattan, IL 60442-7768

Call (815) 954-1634 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XB55081371913 (IL)

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

About NPI 1467110361

Tina Nolan's National Provider Identifier is 1467110361, issued on Dec 8, 2021. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Manhattan, IL. The record was last updated on Dec 8, 2021.