Individual
MISS MARIANA NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
675 N SAINT CLAIR ST STE 20-100, CHICAGO, IL 60611-5970
(312) 695-4360
(312) 695-1435
Mailing address
675 N SAINT CLAIR ST STE 20-100, CHICAGO, IL 60611-5970
(312) 695-4360
(312) 695-1435
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209026516
IL
363LA2200X
Adult Health Nurse Practitioner
209026516
IL
Other
Enumeration date
02/28/2023
Last updated
08/09/2023
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