CARRIE ILLG MSN APRN FNP-BC NPI 1356908073

NPI Information

NPI: 1356908073
Provider Name: CARRIE ILLG, MSN, APRN, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: FOUNDATION MEDICAL PARTNERS INC

PECOS Registration: Yes

Address:
5 DOW JONES AVE
NASHUA, NH
ZIP 03062
Phone: (603) 889-3667
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Carrie Illg, MSN, APRN, FNP-BC is a family nurse practitioner in Nashua, NH with 5 years of experience. Carrie Illg, MSN, APRN, FNP-BC NPI is 1356908073. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5 DOW JONES AVE
NASHUA, NH
ZIP 03062-089
Phone: (603) 889-3667
Fax: (603) 886-1805

The NPI 1356908073 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/29/2019 and was last updated on 6/24/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	053389-23	NEW HAMPSHIRE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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