MEDICARE: NICOLE ANNE NICHOLS APN-CNP

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
1	363L00000X	Nurse Practitioner	209029043	IL

General Provider Information

NPI Number	:	1912775024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE ANNE NICHOLS APN-CNP

Provider Business Mailing Address
First Line	:	880 W CENTRAL RD STE 4400
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-2386
Country	:	US
Telephone Number	:	847-483-9400
Fax Number	:	847-483-9426

Provider Business Practice Location Address
First Line	:	880 W CENTRAL RD STE 4400
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-2386
Country	:	US
Telephone Number	:	847-493-9400
Fax Number	:	847-483-9426

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/18/2023
Last Update Date	:	02/26/2024

Similar Medicare Providers

1184881633 — REDICARE HOME HEALTH SERVICES INCORPORATED
Practice Location Address:

5808 COLDSWORTH CT
ARLINGTON, TX
76018-2386

Practice Phone: 817-467-3500
Practice Fax: 817-467-6133

1053669010 — DEMATRIA PLESHETTE HOLBROOK FNP-C
Practice Location Address:

5814 COLDSWORTH CT
ARLINGTON, TX
76018-2386

Practice Phone: 817-915-6053
Practice Fax:

1891838389 — MS. JUDITH SHARON FRASER M.A., MFT
Practice Location Address:

2386 SUNSET HEIGHTS DR
LOS ANGELES, CA
90046-1428

Practice Phone: 323-656-9800
Practice Fax: 323-656-8245

1104213396 — HEATHER JOLLY
Practice Location Address:

301C CEDAR HEIGHTS CV
JONESBORO, AR
72401-2386

Practice Phone: 870-731-4545
Practice Fax:

1740928217 — MR. KYROLLOS RAGHIB
Practice Location Address:

2386 WALNUT HEIGHTS RD
APOPKA, FL
32703-4856

Practice Phone: 407-760-2816
Practice Fax:

1306535695 — KARANDEEP SINGH
Practice Location Address:

567 W 14TH ST
CHICAGO HEIGHTS, IL
60411-2386

Practice Phone: 708-283-9800
Practice Fax:

Directions to “ NICOLE ANNE NICHOLS APN-CNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.