Nichole Christine Rave, PA-C
NPI #1386031045 in Bloomington, Illinois
Provider Information
- NPI Number
- 1386031045
- Entity Type
- Individual
- Name
- Nichole Christine Rave, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dermatology
- Credential
- PA-C
- Enumeration Date
- Apr 21, 2015
- Last Updated
- May 24, 2024
Practice Location
- Address
- 1404 EASTLAND DR STE 204
- City
- Bloomington
- State
- Illinois
- ZIP Code
- 61701-7904
- Phone
- (309) 662-8813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Student in an Organized Health Care Education/Training Program |
| Dermatology |
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