Individual provider · Type 1 NPI
Nicole Wilson
Student in an Organized Health Care Education/Training Program · Ipava, IL
NPI number
1598214801
Active
Practice location
81 E Broadway St
Ipava, IL 61441-5236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None 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.
About NPI 1598214801
Nicole Wilson's National Provider Identifier is 1598214801, issued on Sep 27, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ipava, IL. The record was last updated on Sep 27, 2016.