Iyeokan Emmanuela Ativie, FNP-C Valid NPI

Individual provider · Family Nurse Practitioner · New Lenox, IL

NPI

1205421815

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

209022852 (IL)

Sex

Female

Sole proprietor

No

Enumerated

2021-03-05

Last updated

2021-03-05