Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDRILYN NEDEDOG, NP
Active Sole ProprietorANDRILYN NEDEDOG, NP is a Gerontological Nurse Practitioner healthcare provider located in LAKE VILLA, Illinois. NPI 1952811366 is currently active in the NPPES registry. Verify at CMS.
Gerontological Nurse Practitioner · LAKE VILLA, IL
Registration Details
- NPI Number
- 1952811366
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 11, 2017 (8.8746614603078 yrs)
- Last Updated
- Oct 17, 2017
- Licenses
-
209.016674 (IL)209.016674 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
308 APPLETON LNLAKE VILLA, IL, 600466405Browse IL providers · Browse ZIP 60046
- Phone
- 2243307751
- Primary Specialty
-
Gerontological Nurse Practitioner
363LG0600X
- Additional Specialty
- Gerontological Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.