Mrs Shanell Rena Gladson, APRN is a
Registered Nurse based in Bartonville, Illinois. Mrs Shanell Rena Gladson is licensed to practice in Illinois (license number 04105255) and her current practice location is
4615 Correl Ave, Bartonville, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 453-0688.
NPI number for Mrs Shanell Rena Gladson is 1043845084 and her current mailing address is 4615 Correl Ave, Bartonville, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1043845084.
Provider's Profile
Full Name | Mrs Shanell Rena Gladson |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 4615 Correl Ave, Bartonville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1043845084
- Provider Enumeration Date: 03/10/2020
- Last Update Date: 02/06/2025
Medical Identifiers
Medical identifiers for Mrs Shanell Rena Gladson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043845084 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 04105255 (Illinois) | Primary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 209031579 (Illinois) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shanell Rena Gladson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Shanell Rena Gladson, APRN 4615 Correl Ave, Bartonville, IL 61607-2618 Ph: (309) 453-0688 | Mrs Shanell Rena Gladson, APRN 4615 Correl Ave, Bartonville, IL 61607-2618 Ph: (309) 453-0688 |
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