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Individual
NICOLE TASKER
Active
Individual
NICOLE TASKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
R200071
MD
363LF0000X
Family Nurse Practitioner
209.018493
IL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
209.018493
IL
Other
Enumeration date
10/22/2017
Last updated
12/04/2018
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