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BETTY C CHUKWUMA DNP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1285093062

Individual Registrant:
 BETTY C CHUKWUMA DNP
Gender: F
Sole Proprietor

Location and contact information for practice:
13505 US HIGHWAY 1  SEBASTIAN, FL 32958 US
Tel: 772-257-8224  Fax: 772-213-3157

Contact information for business:
1545 9TH ST SW  VERO BEACH, FL 32962-4312 US
Tel: 772-257-8224  Fax: 772-213-3157

Registration Information:
NPI: 1285093062
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
FLARNP9296627
Y363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
FLAPRN9296627

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
STATE LICENSEAPRN9296627FL01




HEALTH CARE JOBS FL - Page 1



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