Anderson, Nicole

Anderson, Nicole is an individual health care provider with primary practice located at 2401 West Main Street , Marion IL 62959-1188. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Anderson, Nicole can be contacted via phone (618) 997-5311.

Contact Information

Primary practice address
2401 West Main Street Marion IL 62959-1188
Phone: (618) 997-5311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 41349470 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X Illinois

Profile Details

NPI number 1316127160
LBN Legal business name Anderson, Nicole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2007
Last updated Nov 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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