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Nicole Mae Bounphithack, APRN
Nurse Practitioner in Chicago, Illinois
NPI 1912766791

Nicole Mae Bounphithack is a Nurse Practitioner based in Chicago, IL. Nicole Mae Bounphithack practices in Chicago, IL and has the professional credentials of APRN. The NPI Number for Nicole Mae Bounphithack is 1912766791 and holds a License No. 209.029416 (Illinois).

The current practice location address for Nicole Mae Bounphithack is 1915 N Clybourn Ave, Chicago, IL and can be reached out via phone at 773-598-6995.

Location: 1915 N Clybourn Ave, Chicago, IL, 60647-3553
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912766791
Provider Name
Nicole Mae Bounphithack
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
1915 N Clybourn Ave, Chicago, IL, 60647-3553
Phone Number
773-598-6995
Fax Number
Provider Enumeration Date
03/15/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
1915 N Clybourn Ave
City
Chicago
State
Illinois
Zip
60614-4903
Phone Number
773-598-6995
Fax Number
person
Provider Business Mailing Address Details
Address
1915 N Clybourn Ave
City
Chicago
State
Illinois
Zip
60614-4903
Phone Number
773-598-6995
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209.029416 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
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