Individual
NICOLE NEGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1639 N ALPINE RD FL 3, ROCKFORD, IL 61107-1449
(815) 229-9333
Mailing address
469 W HURON ST APT 1804, CHICAGO, IL 60654-3470
(608) 751-9457
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.031613
IL
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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