Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
ALEENA JO NOLASCO
NPI 1093547275
Registered Nurse - Critical Care Medicine in Loves Park, IL
Active since August 16, 2024
About Aleena Jo Nolasco NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALEENA JO NOLASCO (NPI 1093547275) is an individual critical care medicine provider in Loves Park, Illinois, licensed in Wisconsin (251961) and active in the NPI registry since August 2024.
NPPES Registry Identity
NPI1093547275
Entity TypeIndividualFemale
Primary Taxonomy163WC0200X
Provider Legal NameALEENA JO NOLASCO
Location Address5440 COACH LITE TRLLoves Park, IL 61111-3516
Mailing Address5440 Coach Lite TrlLoves Park, IL 61111-3516 · (608) 445-2578
Phone(608) 445-2578
Sole ProprietorYes
Enumeration DateAugust 16, 2024
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
✔ NPI 1093547275 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyRegistered Nurse · Critical Care MedicineNursing Service Providers
Taxonomy Code163WC0200X
License✔ Licensed in WI · 251961
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X · License 209035955 (IL)
5440 COACH LITE TRL, Loves Park, IL 61111
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093547275, enumerated as an "individual" on August 16, 2024.
The provider is located at 5440 COACH LITE TRL LOVES PARK, IL 61111 and the phone number is (608) 445-2578.
Registered Nurse with taxonomy code 163WC0200X and a focus in Critical Care Medicine.