Individual
NICOLE WOCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
308 WABASH AVE, MATTOON, IL 61938-4418
(217) 254-3404
Mailing address
308 WABASH AVE, MATTOON, IL 61938-4418
(217) 254-3404
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209005375
IL
Other
Enumeration date
08/22/2006
Last updated
12/15/2022
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