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NPI Code Detail

MEDICARE: CHIEDZO CHADUKA CRNP-FAMILY

MEDICARE:   CHIEDZO  CHADUKA  CRNP-FAMILY
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
1363L00000XNurse PractitionerR217843MD

General Provider Information

NPI Number : 1083589212
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHIEDZO CHADUKA CRNP-FAMILY
Provider Business Mailing Address
First Line : 1 FREDERICK HEALTH WAY
Second Line :
City : FREDERICK
State : MD
Zip : 21701-9435
Country : US
Telephone Number : 240-566-3030
Fax Number :
Provider Business Practice Location Address
First Line : 1 FREDERICK HEALTH WAY
Second Line :
City : FREDERICK
State : MD
Zip : 21701-9435
Country : US
Telephone Number : 240-566-3030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2025
Last Update Date : 02/03/2026

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Directions to “ CHIEDZO CHADUKA CRNP-FAMILY” Practice Location

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