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Nicole Lynn Fatka
Student in an Organized Health Care Education/Training Program in Gilman, Illinois
NPI 1073048468

Nicole Lynn Fatka is a Student in an Organized Health Care Education/Training Program based in Gilman, IL. Nicole Lynn Fatka practices in Gilman, IL. The NPI Number for Nicole Lynn Fatka is 1073048468 and holds a License No. (Illinois).

The current practice location address for Nicole Lynn Fatka is 318 N Thomas St, Gilman, IL and can be reached out via phone at 815-258-1043.

Location: 318 N Thomas St, Gilman, IL, 60938-1352
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073048468
Provider Name
Nicole Lynn Fatka
Credential
Provider Entity Type
Individual
Gender
Female
Address
318 N Thomas St, Gilman, IL, 60938-1352
Phone Number
815-258-1043
Fax Number
Provider Enumeration Date
04/24/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
318 N Thomas St
City
Gilman
State
Illinois
Zip
60938-1352
Phone Number
815-258-1043
Fax Number
person
Provider Business Mailing Address Details
Address
318 N Thomas St
City
Gilman
State
Illinois
Zip
60938-1352
Phone Number
815-258-1043
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
-
Taxonomy
246Z00000X
License No.
()
Definition
General classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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