Individual provider · Type 1 NPI
Nicole Renee Nissen
Family Nurse Practitioner · Waterloo, IL
NPI number
1629569843
Active
Practice location
623 Hamacher St
Waterloo, IL 62298-1786
Mailing address
10426 Baur Blvd
St. Louis, MO 63132-1905
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 209017442 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 2018012260 (MO) |
Family Nurse Practitioner: Definition to come...
13 other providers at this address
- Accolade Healthcare of Waterloo LLCSkilled Nursing Facility Waterloo, IL NPI 1821967217
- GCP Aco 2 LLCInternal Medicine Physician Waterloo, IL NPI 1700768603
- Generation Clinical Partners Aco, LLCInternal Medicine Physician Waterloo, IL NPI 1104674431
- Monroe CountySkilled Nursing Facility Waterloo, IL NPI 1548780828
- Valuecare Geriatrics 1 PCInternal Medicine Physician Waterloo, IL NPI 1275443855
- Valuecare Geriatrics 3 PCInternal Medicine Physician Waterloo, IL NPI 1497673529
- Waterloo SLP LLCAssisted Living Facility Waterloo, IL NPI 1457230005
- Claire BurmesterOccupational Therapist Waterloo, IL NPI 1659018851
- Courtney N. MaiselSpeech-Language Pathologist Waterloo, IL NPI 1790483543
- Faith Clark, LPTAPhysical Therapy Assistant Waterloo, IL NPI 1346699212
- Jennifer Rebecca Evans, OTR/LOccupational Therapist Waterloo, IL NPI 1194331967
- Lynn M. Dell, COTAOccupational Therapy Assistant Waterloo, IL NPI 1598422180
Other family nurse practitioner providers in Waterloo
- Sarah Lynette Sandoval, NPFamily Nurse Practitioner Waterloo, IL NPI 1093224438
- Megan Lutman, FNPFamily Nurse Practitioner Waterloo, IL NPI 1548000318
- Rachel Brock, FNPFamily Nurse Practitioner Waterloo, IL NPI 1700478328
- Christina E. Lambert, FNP-BCFamily Nurse Practitioner Waterloo, IL NPI 1760942767
About NPI 1629569843
Nicole Renee Nissen's National Provider Identifier is 1629569843, issued on May 23, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Waterloo, IL. The record was last updated on Apr 17, 2025.