Provider Demographics
NPI:1740563246
Name:NAIR, VINITHA (APN-CNP)
Entity Type:Individual
Prefix:
First Name:VINITHA
Middle Name:
Last Name:NAIR
Suffix:
Gender:F
Credentials:APN-CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 PFINGSTEN RD
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-1361
Mailing Address - Country:US
Mailing Address - Phone:847-657-1700
Mailing Address - Fax:
Practice Address - Street 1:1300 N 12TH ST STE 520
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85006-2849
Practice Address - Country:US
Practice Address - Phone:602-255-7520
Practice Address - Fax:602-255-7530
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209009069363L00000X
AZ274807363LX0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0106XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner