NICHOLAS M. FENWICK

SPRINGFIELD, IL
NPI1154082808
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209024523)
Enumeration Date2022-01-05
Last Update Date2023-02-03
Business Address
NICHOLAS M. FENWICK APRN
350 W CARPENTER ST
SPRINGFIELD, IL 62702-4902
Phone number: 217-528-7541
Mailing Address
NICHOLAS M. FENWICK APRN
1025 S 6TH ST
SPRINGFIELD, IL 62703-2499
Phone number: 217-528-7541