Aira Basco Advincula Valid NPI

Individual provider · Gerontology Registered Nurse · Lake Forest, IL

NPI

1013786540

Type

Individual (Type 1)

Primary specialty

Gerontology Registered Nurse (Registered Nurse)

Specialty group

Nursing Service Providers

Taxonomy code

163WG0600X

License number

041398194 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2023-12-26

Last updated

2023-12-26