Individual
MRS. KAYLA MARIE HNILICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
1701 E COLLEGE AVE, BLOOMINGTON, IL 61704-2101
(309) 644-3440
Mailing address
607 LIBERTY DR, EAST PEORIA, IL 61611-5567
(309) 645-3010
Taxonomy
Speciality
Code
Description
License number
State
163WX0002X
High-Risk Obstetric Registered Nurse
041.390333
IL
363LF0000X
Family Nurse Practitioner
Primary
209.017431
IL
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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