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Individual
NICHOLE R SCHOLD
Active
Individual
NICHOLE R SCHOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.019004
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.019004
STATE LICENSE NUMBER
IL
Enumeration date
03/22/2019
Last updated
03/22/2019
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