Individual
NICOLE J. WHEATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
3005 E ANTHONY DR, URBANA, IL 61802-7789
(217) 552-0674
Mailing address
3005 E ANTHONY DR, URBANA, IL 61802-7789
(217) 552-0674
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
—
—
374J00000X
Doula
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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