Individual provider · Type 1 NPI

Ketan Mahendra Shah, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Wheaton, IL

NPI number 1689959900 Active

Practice location

111 N County Farm Rd
Wheaton, IL 60187-3977

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209008868 (IL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1689959900

Ketan Mahendra Shah, PMHNP-BC's National Provider Identifier is 1689959900, issued on Oct 18, 2011. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wheaton, IL. The record was last updated on Oct 5, 2021.