Nichole Rave, PA-C

NPI 1386031045 · on the registry since 2015

Practice

Address: 1404 Eastland Dr Ste 204
Bloomington, IL 61701
Phone: (309) 662-8813
Organisation at this address: Mycare Express Care Inc
My Care Urgent Care Inc
Eastland Dental Center, Ltd.
Associates In Dermatology Sc
Bloomington Normal Audiology
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 18

Registry record

Primary taxonomy: 207N00000X
207N00000X
Also registered as: 2255A2300X
390200000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-05-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois