Provider Demographics
NPI:1609926088
Name:CARTIER, NICOLE LOUISE (AGPCNP-BC, LCPC)
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:LOUISE
Last Name:CARTIER
Suffix:
Gender:F
Credentials:AGPCNP-BC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:263 HIGHPOINT CIR N
Mailing Address - Street 2:
Mailing Address - City:BOURBONNAIS
Mailing Address - State:IL
Mailing Address - Zip Code:60914-9122
Mailing Address - Country:US
Mailing Address - Phone:815-474-4918
Mailing Address - Fax:
Practice Address - Street 1:1580 BUTTERFIELD TRL
Practice Address - Street 2:
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901-2933
Practice Address - Country:US
Practice Address - Phone:815-932-0312
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-005510101YP2500X
FL11021349363LA2200X
IL209026246363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional