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NPI Code Detail

MEDICARE: NICOLE HOMERDING FNP-C

MEDICARE: NICOLE HOMERDING FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner209.034233IL

General Provider Information

NPI Number : 1598621336
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE HOMERDING FNP-C
Provider Business Mailing Address
First Line : 1221 N HIGHLAND AVE
Second Line :
City : AURORA
State : IL
Zip : 60506-1404
Country : US
Telephone Number : 630-264-8944
Fax Number : 414-385-1161
Provider Business Practice Location Address
First Line : 1221 N HIGHLAND AVE
Second Line :
City : AURORA
State : IL
Zip : 60506-1404
Country : US
Telephone Number : 630-264-8944
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/24/2025
Last Update Date : 12/24/2025

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Directions to “ NICOLE HOMERDING FNP-C” Practice Location

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