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Nicole Brandi Pedtke, FNP
Family Nurse Practitioner in Ashley, Illinois
NPI 1326664111

Nicole Brandi Pedtke is a Family Nurse Practitioner based in Ashley, IL and is specialized in Family. Nicole Brandi Pedtke practices in Ashley, IL and has the professional credentials of FNP. The NPI Number for Nicole Brandi Pedtke is 1326664111 and holds a License No. 209021411 (Illinois).

The current practice location address for Nicole Brandi Pedtke is 5680 Indian Trail Rd, Ashley, IL and can be reached out via phone at 618-713-3811.

Location: 5680 Indian Trail Rd, Ashley, IL, 62808-2527
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326664111
Provider Name
Nicole Brandi Pedtke
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
5680 Indian Trail Rd, Ashley, IL, 62808-2527
Phone Number
618-713-3811
Fax Number
Provider Enumeration Date
06/17/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5680 Indian Trail Rd
City
Ashley
State
Illinois
Zip
62808-2527
Phone Number
618-713-3811
Fax Number
person
Provider Business Mailing Address Details
Address
5680 Indian Trail Rd
City
Ashley
State
Illinois
Zip
62808-2527
Phone Number
618-713-3811
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209021411 (Illinois)
Definition
Definition to come...
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