person
Nancy Renee Prokup, CNP
Family Nurse Practitioner in Crystal Lake, Illinois
NPI 1306155072

Nancy Renee Prokup is a Family Nurse Practitioner based in Crystal Lake, IL and is specialized in Family. Nancy Renee Prokup practices in Crystal Lake, IL and has the professional credentials of CNP. The NPI Number for Nancy Renee Prokup is 1306155072 and holds a License No. 209008330 (Illinois).

The current practice location address for Nancy Renee Prokup is 360 Station Dr, Crystal Lake, IL and can be reached out via phone at 815-338-6600 and via fax at 815-455-8044. You can also correspond with Nancy Renee Prokup through the mailing address at 360 STATION DR, CRYSTAL LAKE, IL - 60014-7978 (mailing address contact number: 815-338-6600).

Location: 360 Station Dr, Crystal Lake, IL, 60014-7978
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Provider Profile Details
NPI Number
1306155072
Provider Name
Nancy Renee Prokup
Credential
CNP
Provider Entity Type
Individual
Gender
Female
Address
360 Station Dr, Crystal Lake, IL, 60014-7978
Phone Number
815-338-6600
Fax Number
815-455-8044
Provider Enumeration Date
09/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209008330 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
360 Station Dr
City
State
Zip
60014
Phone Number
815-338-6600
Fax Number
815-455-8044
person
Provider Business Mailing Address Details
Address
360 Station Dr
City
State
Zip
60014-7978
Phone Number
815-338-6600
Fax Number
815-455-8044
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
209008330 (Illinois)
Definition
Definition to come...
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