Nancy A. Garofalo
Nurse Practitioner - Neonatal
2650 Ridge Ave Department Of Pediatrics
Evanston
, Illinois 60201
Nancy A. Garofalo
Nurse Practitioner - Neonatal
2650 Ridge Ave Department Of Pediatrics
Evanston
, Illinois 60201
(847) 733-5367
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Nancy A. Garofalo
- 2650 Ridge Ave Department Of Pediatrics
- Evanston, IL
- Zip : 60201-1718
- Fax : (847) 733-5367
- Phone : (847) 733-5202
Second Address
- Nancy A. Garofalo
- 2650 Ridge Ave Department Of Pediatrics
- Evanston, IL
- Zip : 60201
- Fax : (847) 733-5367
- Phone : (847) 733-5202
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 209-003425 | IL |
National Provider Identifier
| NPI | 1184825127 |
|---|---|
| Provider Name | Nancy A. Garofalo |
| First Address | Evanston, IL 60201-1718 |
| Second Address | Evanston, IL 60201 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/05/2007 |
| Last Update Date | 29/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 209-003425 | IL STATE LIC (01) | IL |
| 309-000985 | IL ADV PRACTICE NURSE CONTROL SUB (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.