Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Breann Short

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1326667874

Nicole Breann Short is a Student in an Organized Health Care Education/Training Program in Royalton, Illinois. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

1813 River Rd
Royalton, IL 62983
Phone: (618) 925-1040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1326667874
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 15, 2020
Last updated in NPPESApril 15, 2020
Certification dateApril 15, 2020