Individual
NICOLE LAUREN POTEMPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, FNP
Contact information
Practice address
1285 HARTREY AVE, EVANSTON, IL 60202-1056
(847) 666-3494
Mailing address
1285 HARTREY AVE, EVANSTON, IL 60202-1056
(847) 666-3494
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041398676
IL
363L00000X
Nurse Practitioner
Primary
209.016693
IL
Other
Enumeration date
05/23/2017
Last updated
07/21/2022
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