Individual provider · Type 1 NPI

Ayana A. Isham, AGNP

Gerontology Nurse Practitioner · Chicago, IL

NPI number 1780269084 Active

Practice location

2003 W Fulton St
Chicago, IL 60612-2345

Fax (312) 243-2227

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X209021473 (IL)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1780269084

Ayana A. Isham, AGNP's National Provider Identifier is 1780269084, issued on Mar 17, 2021. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Chicago, IL. The record was last updated on Nov 21, 2024.