Provider Demographics
NPI:1427862036
Name:WIDGER, NANCY L (RN)
Entity type:Individual
Prefix:MS
First Name:NANCY
Middle Name:L
Last Name:WIDGER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29048 S. KLEMME RD
Mailing Address - Street 2:
Mailing Address - City:BEECHER
Mailing Address - State:IL
Mailing Address - Zip Code:60401
Mailing Address - Country:US
Mailing Address - Phone:708-932-6697
Mailing Address - Fax:
Practice Address - Street 1:10760 WEST 143RD ST SUITE 65
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462
Practice Address - Country:US
Practice Address - Phone:815-269-4344
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28233826A251J00000X
IL041-291211251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care