Individual
NICHOLE MARIE DIMARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
21202 OWENS RD STE 101, MOKENA, IL 60448-2038
(779) 334-0030
(779) 334-0031
Mailing address
21202 OWENS RD STE 101, MOKENA, IL 60448-2038
(779) 334-0030
(779) 334-0031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015245
IL
363LF0000X
Family Nurse Practitioner
209.015245
IL
Other
Enumeration date
05/05/2017
Last updated
08/15/2022
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