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BETTY C CHUKWUMA DNP
Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1285093062
Individual Registrant: BETTY C CHUKWUMA DNP
Gender: F
Sole Proprietor
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
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
Tel: 772-257-8224 Fax: 772-213-3157
Registration Information:
NPI: 1285093062
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 363LF0000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family | FL | ARNP9296627 |
| Y | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | FL | APRN9296627 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| STATE LICENSE | APRN9296627 | FL | 01 |
