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Nicole Breann Short
Student in an Organized Health Care Education/Training Program in Royalton, Illinois
NPI 1326667874

Nicole Breann Short is a Student in an Organized Health Care Education/Training Program based in Royalton, IL. Nicole Breann Short practices in Royalton, IL. The NPI Number for Nicole Breann Short is 1326667874 and holds a License No. (Illinois).

The current practice location address for Nicole Breann Short is 1813 River Rd, Royalton, IL and can be reached out via phone at 618-925-1040.

Location: 1813 River Rd, Royalton, IL, 62983
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326667874
Provider Name
Nicole Breann Short
Credential
Provider Entity Type
Individual
Gender
Female
Address
1813 River Rd, Royalton, IL, 62983
Phone Number
618-925-1040
Fax Number
Provider Enumeration Date
04/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1813 River Rd
City
Royalton
State
Illinois
Zip
62983
Phone Number
618-925-1040
Fax Number
person
Provider Business Mailing Address Details
Address
1813 River Rd
City
Royalton
State
Illinois
Zip
62983
Phone Number
618-925-1040
Fax Number
person
Provider's Taxonomy Details 1
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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