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Individual
NICOLE THOMAS
Active
Individual
NICOLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209012492
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2014026661
ANCC CERTIFICATION
IL
Enumeration date
02/11/2015
Last updated
03/05/2024
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