NPI 1730212309

Nicole S. Nettgen, CNM

Practitioner Advanced Practice Midwife Kankakee, IL

Practice location

Address: 375 N Wall St Suite P630, Kankakee, IL 60901-3483
Phone: (815) 933-4510
Fax: (815) 933-4259
Mailing address: 1007 Lark Ln, Shorewood, IL 60404-9649

Registered specialties

Advanced Practice Midwife Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367A00000X Licence 209-003302 (IL)

Other Advanced Practice Midwife providers in Illinois →

Registry record

NPI: 1730212309
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Mar 2007
Record last updated: 21 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.