Individual provider · Type 1 NPI

Dhara Mehta

Family Nurse Practitioner · Rockford, IL

NPI number 1003505314 Active

Practice location

6861 Villagreen Vw
Rockford, IL 61107-5639

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X041.497979 (IL)
Family Nurse Practitioner Primary 363LF0000X209.029582 (IL)

Family Nurse Practitioner: Definition to come...

9 other providers at this address

Other family nurse practitioner providers in Rockford

See all in Rockford →

About NPI 1003505314

Dhara Mehta's National Provider Identifier is 1003505314, issued on May 3, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rockford, IL. The record was last updated on Jul 12, 2025.