Individual provider · Type 1 NPI
Andrilyn Nededog, NP
Gerontology Nurse Practitioner · Lake Villa, IL
NPI number
1952811366
Active
Practice location
308 Appleton Ln
Lake Villa, IL 60046-6405
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 209.016674 (IL) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 209.016674 (IL) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1952811366
Andrilyn Nededog, NP's National Provider Identifier is 1952811366, issued on Oct 11, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Lake Villa, IL. The record was last updated on Oct 17, 2017.