IndividualActive
Nicole Dalton, P.A.
NPI 1326109992 · Physician Assistant · Forsyth, IL
Provider details
- NPI number
- 1326109992
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- License
- 085-001647 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
241 W Weaver Rd
Suite 145b
Forsyth, IL 62535-9762
Phone: (217) 794-5472
Fax: (217) 794-5458
Approximate (ZIP-level) locationGet directions
Mailing address
2300 N Edward St
Decatur, IL 62526-4163
Registry dates
- Enumerated
- 2006-12-13
- Last updated
- 2010-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.