Individual provider · Type 1 NPI
Derek Ilg
Nurse Practitioner · Lowell, MA
Practice location
295 Varnum Ave
Lowell, MA 01854-2134
Mailing address
7 Needham St
North Chelmsford, MA 01863-1637
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 265820 (MA) |
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 1699531954
Derek Ilg's National Provider Identifier is 1699531954, issued on Feb 26, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lowell, MA. The record was last updated on Feb 26, 2024.