Individual provider · Type 1 NPI

Tatiana Vitalia Buonicore, APRN-FPA

Nurse Practitioner · Burbank, IL

NPI number 1366800906 Active

Practice location

5635 State Rd
Burbank, IL 60459-2051

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X277001003 (IL)
Family Nurse Practitioner 363LF0000X277001003 (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 1366800906

Tatiana Vitalia Buonicore, APRN-FPA's National Provider Identifier is 1366800906, issued on Feb 9, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Burbank, IL. The record was last updated on Mar 24, 2025.