person
Sierra Nicole Bushman Sotelo
Student in an Organized Health Care Education/Training Program in Aurora, Illinois
NPI 1700554904

Sierra Nicole Bushman Sotelo is a Student in an Organized Health Care Education/Training Program based in Aurora, IL. Sierra Nicole Bushman Sotelo practices in Aurora, IL. The NPI Number for Sierra Nicole Bushman Sotelo is 1700554904 and holds a License No. (Illinois).

The current practice location address for Sierra Nicole Bushman Sotelo is 1750 N Marywood Ave Apt 211, Aurora, IL and can be reached out via phone at 815-631-1773. You can also correspond with Sierra Nicole Bushman Sotelo through the mailing address at 1750 N MARYWOOD AVE APT 211, AURORA, IL - 60505-1564 (mailing address contact number: 815-631-1773).

Location: 1750 N Marywood Ave Apt 211, Aurora, IL, 60505-1564
person
Provider Profile Details
NPI Number
1700554904
Provider Name
Sierra Nicole Bushman Sotelo
Credential
Provider Entity Type
Individual
Gender
Female
Address
1750 N Marywood Ave Apt 211, Aurora, IL, 60505-1564
Phone Number
815-631-1773
Fax Number
Provider Enumeration Date
09/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1750 N Marywood Ave Apt 211
City
State
Zip
60505-1564
Phone Number
815-631-1773
Fax Number
person
Provider Business Mailing Address Details
Address
1750 N Marywood Ave Apt 211
City
State
Zip
60505-1564
Phone Number
815-631-1773
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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