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NPI Code Detail

MEDICARE: ANNDRA CHINTALA APRN

MEDICARE:   ANNDRA  CHINTALA  APRN
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
1363LF0000XFamily Nurse PractitionerAPRN11035270FL

General Provider Information

NPI Number : 1588491781
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNDRA CHINTALA APRN
Provider Business Mailing Address
First Line : 1395 S STATE ROAD 7 STE 300
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-9326
Country : US
Telephone Number : 561-795-2878
Fax Number : 561-795-0464
Provider Business Practice Location Address
First Line : 1395 S STATE ROAD 7 STE 300
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-9326
Country : US
Telephone Number : 561-795-2878
Fax Number : 561-795-0464
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2024
Last Update Date : 03/14/2026

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Directions to “ ANNDRA CHINTALA APRN” Practice Location

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