Individual
SHIVANI A BHATNAGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
225 E CHICAGO AVE UNIT 1002, CHICAGO, IL 60611-2991
(612) 227-4000
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(614) 530-1042
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209031243
IL
363LP0200X
Pediatric Nurse Practitioner
APRNCNP019440
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0213197
—
OH
01
—
H611330
CGS MEDICARE
OH
Enumeration date
08/28/2016
Last updated
06/19/2025
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