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NPI Code Detail

MEDICARE: LUCY CHINASA CHIMEZIE PMHNP-BC

MEDICARE: LUCY CHINASA CHIMEZIE PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner53-84702-021KS

General Provider Information

NPI Number : 1053275008
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCY CHINASA CHIMEZIE PMHNP-BC
Provider Business Mailing Address
First Line : 400 S SANTA FE AVE
Second Line :
City : SALINA
State : KS
Zip : 67401-4144
Country : US
Telephone Number : 785-452-7000
Fax Number :
Provider Business Practice Location Address
First Line : 400 S SANTA FE AVE
Second Line :
City : SALINA
State : KS
Zip : 67401-4144
Country : US
Telephone Number : 785-452-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2025
Last Update Date : 12/15/2025

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Directions to “ LUCY CHINASA CHIMEZIE PMHNP-BC” Practice Location

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