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Individual

GENEVIEVE SAN NICOLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, AGACNP-BC, DNP

Contact information

Practice address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-2908
(312) 695-0061
(312) 926-8341
Mailing address
251 E HURON ST STE 5-704, CHICAGO, IL 60611-2908
(312) 695-0061
(312) 926-8341

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209032944
IL
363LC0200X
Critical Care Medicine Nurse Practitioner
9363062
FL
363LF0000X
Family Nurse Practitioner
9363092
FL

Other

Enumeration date
10/24/2018
Last updated
12/19/2025
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