Provider Demographics
NPI:1194289413
Name:HANDSPIKE, NADIA (FNP-BC)
Entity type:Individual
Prefix:MS
First Name:NADIA
Middle Name:
Last Name:HANDSPIKE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12911 S EMERALD AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60628-7428
Mailing Address - Country:US
Mailing Address - Phone:773-458-8450
Mailing Address - Fax:
Practice Address - Street 1:4415 HARRISON ST STE 247
Practice Address - Street 2:
Practice Address - City:HILLSIDE
Practice Address - State:IL
Practice Address - Zip Code:60162-1919
Practice Address - Country:US
Practice Address - Phone:312-738-3355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-31
Last Update Date:2019-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209018730363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily