Individual
NICKIE EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1412 US HIGHWAY 45 N, ELDORADO, IL 62930-3766
(618) 273-3326
(618) 273-3585
Mailing address
1412 US HIGHWAY 45 N, ELDORADO, IL 62930-3766
(618) 273-3326
(618) 273-3585
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041.254989
IL
Other
Enumeration date
03/16/2012
Last updated
03/16/2012
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