Individual
MRS. NICOLE MARIE GRANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FPA NP
Contact information
Practice address
4440 W 95TH ST STE 6409, OAK LAWN, IL 60453-2600
(877) 684-4327
(708) 520-1871
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
277-005387
IL
364S00000X
Clinical Nurse Specialist
Primary
346S00000X
IL
Other
Enumeration date
02/27/2008
Last updated
04/30/2026
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