Individual provider · Type 1 NPI
Diana Mukamusoni Fulaza, FNP
Family Nurse Practitioner · Evanston, IL
NPI number
1144996224
Active
Practice location
2650 Ridge Ave Evanston, Il 60201
Evanston, IL 60201
Mailing address
1516 W Touhy Ave Apt 1A
Chicago, IL 60626-2631
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.022042 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1144996224
Diana Mukamusoni Fulaza, FNP's National Provider Identifier is 1144996224, issued on Aug 19, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Evanston, IL. The record was last updated on Aug 19, 2021.