Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACY SHADLEY, FNP
ActiveTRACY SHADLEY, FNP is a Psychiatric/Mental Health, Community CNS healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1699263731 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health, Community CNS · CRYSTAL LAKE, IL
Registration Details
- NPI Number
- 1699263731
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2018 (8.2938409769847 yrs)
- Last Updated
- Dec 12, 2024
- Licenses
-
277.001865 (IL)277.001865 (IL)
Practice Information
- Address
-
7220 GREAT HILL RDCRYSTAL LAKE, IL, 600121637Browse IL providers · Browse ZIP 60012
- Phone
- 8479998777
- Fax
- 8158934534
- Primary Specialty
-
Psychiatric/Mental Health, Community CNS
364SP0808X
- Additional Specialty
- Psychiatric/Mental Health, Community CNS
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.