NPI
Shanell Rena Gladson
NPI 1043845084
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Credential
- APRN
- Type
- Individual
- Enumeration date
- 2020-03-10
- Last updated
- 2025-11-16
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Specialties
Licenses
- License IL
- 209031579
- License AZ
- RN233341
- License IL
- 04105255
- License AZ
- 23341
Location
- Practice location
- 4615 Correl Ave
- City
- Bartonville IL
- Postal code
- 61607-2618
- Phone
- (309) 453-0688
- Fax
- (309) 324-5977
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Bartonville, IL. 50 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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