Individual provider · Type 1 NPI
Innocentcia Wagala-Ayafor
Nurse Practitioner · Glenview, IL
Practice location
1776 Camden Dr
Glenview, IL 60025-7616
Mailing address
2650 Ridge Ave
Evanston, IL 60201-1718
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 209-002320 (IL) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1225305246
Innocentcia Wagala-Ayafor's National Provider Identifier is 1225305246, issued on Nov 18, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Glenview, IL. The record was last updated on Feb 13, 2012.