KELLY TAIS AZAMBUJA CACHOEIRA, APRN
Nurse Practitioner
Active
Individual
NPI: 1295599900
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner | 363L00000X | Yes | 209029354 (IL) |
Frequently Asked Questions
NPI 1295599900 is the National Provider Identifier for KELLY TAIS AZAMBUJA CACHOEIRA, APRN, a Nurse Practitioner provider located in Bannockburn, IL. This NPI was enumerated on February 13, 2024.
KELLY TAIS AZAMBUJA CACHOEIRA, APRN practices at 2151 WAUKEGAN RD STE 100, Bannockburn, IL 60015.
Quick Facts
- NPI
- 1295599900
- Type
- Individual
- Enumerated
- Feb 13, 2024
- Last Updated
- Aug 7, 2024
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