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

Nina Rose Kobolon-Ngauss

Individual provider Home Health Registered Nurse · NPI 1518805753

Nina Rose Kobolon-Ngauss is a Home Health Registered Nurse in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

5710 W Rachael Ct
Peoria, IL 61615-3062
Phone: (717) 802-4493
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Health Registered Nurse (primary) Taxonomy 163WH0200X · Licence 041.589014 (IL)

Record details

NPI number1518805753
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 21, 2026
Last updated in NPPESMarch 21, 2026
Certification dateMarch 21, 2026

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