Individual provider · Type 1 NPI

Katina Danica Nicholas

Nurse Practitioner · Chicago, IL

NPI number 1851246110 Active

Practice location

30 S Michigan Ave Ste 500
Chicago, IL 60603-3205

Mailing address

1457 N Ashland Ave Apt 4S
Chicago, IL 60622-8092

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X209.033311 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1851246110

Katina Danica Nicholas's National Provider Identifier is 1851246110, issued on Mar 2, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Mar 2, 2026.