Nouwairi, Nicole Soraya

Nouwairi, Nicole Soraya is an sole proprietor health care provider with primary practice located at 2202 Harlem Road , Loves Park IL 61111-2754. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Nouwairi, Nicole Soraya can be contacted via phone (815) 877-4848.

Contact Information

Primary practice address
2202 Harlem Road Loves Park IL 61111-2754
Phone: (815) 877-4848
Fax: (815) 636-6125
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209013378 Illinois

Profile Details

NPI number 1760559207
LBN Legal business name Nouwairi, Nicole Soraya
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Dec 5th, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1760559207 NPPES
Texas Other 85154U BLUE CROSS PROVIDER ID
Texas MEDICAID 173674601 BLUE CROSS PROVIDER ID
Texas Other P00225343 BLUE CROSS PROVIDER ID

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