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General NPI Number Information
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NPI Number | 1821591421
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Entity Type | Individual
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Provider Name | NICOLE M. WARMAC APN
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Gender | Female
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Dates
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Enumeration Date | 03/10/2018
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 1304 FRANKLIN AVE
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City | NORMAL
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State | IL
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Zip | 61761-3558
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Country | US
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Telephone | 309-454-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE STE 1223
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City | EVANSTON
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State | IL
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Zip | 60201-1700
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Country | US
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Telephone | 847-570-2040
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Fax | 847-733-5315
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209017302
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License Number State | IL
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