Provider Demographics
NPI:1861844607
Name:CARTAGENA, BIANCA (APN, FNP-BC)
Entity Type:Individual
Prefix:MISS
First Name:BIANCA
Middle Name:
Last Name:CARTAGENA
Suffix:
Gender:F
Credentials:APN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2330 S CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-7748
Mailing Address - Country:US
Mailing Address - Phone:773-818-3426
Mailing Address - Fax:
Practice Address - Street 1:495 N RIVERSIDE DR STE 102
Practice Address - Street 2:
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031-5919
Practice Address - Country:US
Practice Address - Phone:847-599-9900
Practice Address - Fax:847-599-9901
Is Sole Proprietor?:No
Enumeration Date:2016-07-05
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209.013958363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily