Brazg, Nicole

Brazg, Nicole is an individual health care provider with primary practice located at 225 E Chicago Ave , Chicago IL 60611-2991. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Brazg, Nicole can be contacted via phone (425) 445-1865.

Contact Information

Primary practice address
225 E Chicago Ave Chicago IL 60611-2991
Phone: (425) 445-1865
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN60905606 Washington
Nursing Service Providers / Registered Nurse 163W00000X 041465583 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X AP60916521 Washington
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209018362 Illinois

Profile Details

NPI number 1336604644
LBN Legal business name Brazg, Nicole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2019
Last updated May 28th, 2020 - about 5 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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