Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BETH SHAFER VENUGOPAL, REGISTERED NURSE
Active Sole ProprietorBETH SHAFER VENUGOPAL, REGISTERED NURSE is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in EVANSTON, Illinois. NPI 1376230789 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · EVANSTON, IL
Registration Details
- NPI Number
- 1376230789
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2023 (3.3304218509234 yrs)
- Last Updated
- Apr 18, 2023
- License
-
041260944 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1942 DEMPSTER STEVANSTON, IL, 602021016Browse IL providers · Browse ZIP 60202
- Phone
- 8476881900
- Fax
- 8478697392
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
163WP2201X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.