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Licette Priscilla Cuautle
Family Nurse Practitioner in Joliet, Illinois
NPI 1871377713

Licette Priscilla Cuautle is a Family Nurse Practitioner based in Joliet, IL and is specialized in Family. Licette Priscilla Cuautle practices in Joliet, IL. The NPI Number for Licette Priscilla Cuautle is 1871377713 and holds a License No. 209.026373 (Illinois).

The current practice location address for Licette Priscilla Cuautle is 1114 Edgerton Dr, Joliet, IL and can be reached out via phone at 815-603-8055.

Location: 1114 Edgerton Dr, Joliet, IL, 60435-0415
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871377713
Provider Name
Licette Priscilla Cuautle
Credential
Provider Entity Type
Individual
Gender
Female
Address
1114 Edgerton Dr, Joliet, IL, 60435-0415
Phone Number
815-603-8055
Fax Number
Provider Enumeration Date
08/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1114 Edgerton Dr
City
Joliet
State
Illinois
Zip
60435-0415
Phone Number
815-603-8055
Fax Number
person
Provider Business Mailing Address Details
Address
1114 Edgerton Dr
City
Joliet
State
Illinois
Zip
60435-0415
Phone Number
815-603-8055
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.026373 (Illinois)
Definition
Definition to come...
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