SHINY MATHEW NANTHIKATTU NPI 1285101865

NPI Information

NPI: 1285101865
Provider Name: SHINY MATHEW NANTHIKATTU
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2614 MODAFF RD
NAPERVILLE, IL
ZIP 60565
Phone: (630) 885-6721
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Shiny Mathew Nanthikattu is a family nurse practitioner in Naperville, IL. Shiny Mathew Nanthikattu NPI is 1285101865. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2614 MODAFF RD
NAPERVILLE, IL
ZIP 60565-342
Phone: (630) 885-6721

The enumeration date for this NPI number is 10/31/2018 and was last updated on 10/31/2018.

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	363LF0000X	Nurse Practitioner	Family	209018424	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: 11/14/2023

NPI Synchronization or Removal

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