Individual provider · Type 1 NPI
Shiny Mathew Nanthikattu
Family Nurse Practitioner · Naperville, IL
NPI number
1285101865
Active
Practice location
2614 Modaff Rd
Naperville, IL 60565-4342
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209018424 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1285101865
Shiny Mathew Nanthikattu's National Provider Identifier is 1285101865, issued on Oct 31, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Naperville, IL. The record was last updated on Oct 31, 2018.