Individual
SHANITA VALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2000 OGDEN AVE, AURORA, IL 60504-7222
(630) 978-6250
(630) 978-6869
Mailing address
2000 OGDEN AVE, AURORA, IL 60504-7222
(630) 978-6250
(630) 978-6250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209015899
IL
363LG0600X
Gerontology Nurse Practitioner
209.015899
IL
Other
Enumeration date
04/19/2017
Last updated
02/28/2024
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