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NPI Code Detail

MEDICARE: AMY CHICO

MEDICARE: AMY CHICO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse0001180364VA
2363LF0000XFamily Nurse Practitioner0024172721VA

General Provider Information

NPI Number : 1033592431
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY CHICO
Provider Business Mailing Address
First Line : PO BOX 388
Second Line :
City : FISHERSVILLE
State : VA
Zip : 22939-0388
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 644 UNIVERSITY BLVD
Second Line :
City : HARRISONBURG
State : VA
Zip : 22801-3773
Country : US
Telephone Number : 540-214-5682
Fax Number : 540-214-5683
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2015
Last Update Date : 11/22/2022

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Directions to “ AMY CHICO ” Practice Location

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