Emily Van Note
Individual provider Active NPI Nurse's Aide · Buffalo, IL
NPI 1104632025 · NPPES record last updated Dec 5, 2024
Key facts
- NPI
- 1104632025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse's Aide 376K00000X
- Practice address
- 3546 Lanesville Rd
Buffalo, IL 62515-7071 - Phone
- (217) 481-4386
- NPI assigned
- Dec 5, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | IL | Yes |
Addresses
Primary practice location
3546 Lanesville Rd
Buffalo, IL 62515-7071
Mailing address
3546 Lanesville Rd
Buffalo, IL 62515-7071
Phone (217) 481-4386
Other providers in Buffalo, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.