Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICOLE WILSON
ActiveNICOLE WILSON is a Student (Health Education/Training) healthcare provider located in IPAVA, Illinois. NPI 1598214801 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · IPAVA, IL
Registration Details
- NPI Number
- 1598214801
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2016 (9.7368057731589 yrs)
- Last Updated
- Sep 27, 2016
Practice Information
- Address
-
81 E BROADWAY STIPAVA, IL, 614415236Browse IL providers · Browse ZIP 61441
- Phone
- 3093334496
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Student (Health Education/Training)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.