Individual
NICOLE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
522 TORRENCE AVE, CALUMET CITY, IL 60409-3216
(800) 323-8622
(224) 225-0388
Mailing address
522 TORRENCE AVE, CALUMET CITY, IL 60409-3216
(800) 323-8622
(224) 225-0388
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277-000781
IL
363LF0000X
Family Nurse Practitioner
277-000781
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100286410
—
WI
Enumeration date
10/15/2012
Last updated
03/06/2025
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