MEDICARE: CHEZELLA HANKINS

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
1	376K00000X	Nurse's Aide	DENC0014343E	DE
2	376K00000X	Nurse's Aide	492988	NC
3	376K00000X	Nurse's Aide	A00188482	MD

General Provider Information

NPI Number	:	1558012039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHEZELLA HANKINS

Provider Business Mailing Address
First Line	:	344 SHERIDAN DR
Second Line	:
City	:	NEW CASTLE
State	:	DE
Zip	:	19720-2161
Country	:	US
Telephone Number	:	910-441-8107
Fax Number	:

Provider Business Practice Location Address
First Line	:	344 SHERIDAN DR
Second Line	:
City	:	NEW CASTLE
State	:	DE
Zip	:	19720-2161
Country	:	US
Telephone Number	:	910-441-8107
Fax Number	:	302-907-2218

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2022
Last Update Date	:	01/15/2022

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Directions to “ CHEZELLA HANKINS ” Practice Location

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