Provider Demographics
NPI:1063900132
Name:BATCHASSI, NATHALIE MAHERANI (APN)
Entity type:Individual
Prefix:MISS
First Name:NATHALIE
Middle Name:MAHERANI
Last Name:BATCHASSI
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4036 177TH ST
Mailing Address - Street 2:
Mailing Address - City:COUNTRY CLUB HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60478-4858
Mailing Address - Country:US
Mailing Address - Phone:773-720-2220
Mailing Address - Fax:
Practice Address - Street 1:650 GRANT ST
Practice Address - Street 2:
Practice Address - City:GARY
Practice Address - State:IN
Practice Address - Zip Code:46404-1533
Practice Address - Country:US
Practice Address - Phone:219-882-9900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209017473363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily