Dimaria, Nichole Marie

Dimaria, Nichole Marie is an individual health care provider with primary practice located at 21202 Owens Rd Ste 101 , Mokena IL 60448-2038. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dimaria, Nichole Marie can be contacted via phone (779) 334-0030.

Contact Information

Primary practice address
21202 Owens Rd Ste 101 Mokena IL 60448-2038
Phone: (779) 334-0030
Fax: (779) 334-0031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209015245 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.015245 Illinois

Profile Details

NPI number 1336675610
LBN Legal business name Dimaria, Nichole Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2017
Last updated Aug 15th, 2022 - about 2 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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