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NPI Code Detail

MEDICARE: GLORIA NEZIANYA APN-CNP

MEDICARE: GLORIA NEZIANYA APN-CNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician277003178IL
2363L00000XNurse Practitioner277003178IL
3363LG0600XGerontology Nurse Practitioner277003178IL
4363LC0200XCritical Care Medicine Nurse Practitioner277003178IL
5363LA2200XAdult Health Nurse Practitioner277003178IL

General Provider Information

NPI Number : 1023430832
Entity Type Code : Individual
Provider Name (Legal Business Name) : GLORIA NEZIANYA APN-CNP
Provider Business Mailing Address
First Line : 2740 W FOSTER AVE
Second Line : STE 310
City : CHICAGO
State : IL
Zip : 60625-3500
Country : US
Telephone Number : 773-878-8200
Fax Number : 773-293-8804
Provider Business Practice Location Address
First Line : 5145 N CALIFORNIA AVE
Second Line : STE M276
City : CHICAGO
State : IL
Zip : 60625-3661
Country : US
Telephone Number : 773-878-8200
Fax Number : 773-293-4171
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/13/2014
Last Update Date : 05/04/2026

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Directions to “ GLORIA NEZIANYA APN-CNP” Practice Location

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