IVY-LOU VILLANUEVA IRAULA MSN CNM WHNP-BC NPI 1902209232

NPI Information

NPI: 1902209232
Provider Name: IVY-LOU VILLANUEVA IRAULA, MSN, CNM, WHNP-BC
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

PECOS Registration: Yes

Address:
1276 N CLYBOURN AVE
CHICAGO, IL
ZIP 60610
Phone: (312) 337-1073
Get Directions

Ivy-lou Villanueva Iraula, MSN, CNM, WHNP-BC is an obstetrics and gynecology nurse practitioner in Chicago, IL with 10 years of experience. Ivy-lou Villanueva Iraula, MSN, CNM, WHNP-BC NPI is 1902209232. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:2014

The provider's business location address is:

1276 N CLYBOURN AVE
CHICAGO, IL
ZIP 60610-089
Phone: (312) 337-1073

The NPI 1902209232 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.

The enumeration date for this NPI number is 10/1/2014 and was last updated on 10/25/2023.

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	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	209011825	ILLINOIS	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: 4/28/2024

NPI Synchronization or Removal

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