Richard, Nachelle

Richard, Nachelle is an individual health care provider with primary practice located at 1505 Eastland Dr Ll1400, Bloomington IL 61701-3534. 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. Richard, Nachelle can be contacted via phone (309) 663-4700.

Contact Information

Primary practice address
1505 Eastland Dr Ll1400 Bloomington IL 61701-3534
Phone: (309) 663-4700
Fax: (309) 665-0575
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 041178032 Illinois

Profile Details

NPI number 1609852615
LBN Legal business name Richard, Nachelle
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Nov 16th, 2011 - about 13 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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