MEDICARE: NICOLE TCHEUFFA

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	163W00000X	Registered Nurse	RN1017233	DC

General Provider Information

NPI Number	:	1639544117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE TCHEUFFA

Provider Business Mailing Address
First Line	:	931 LONGFELLOW ST NW APT 208
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20011-8225
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2526 PENNSYLVANIA AVE SE STE C
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20020-6719
Country	:	US
Telephone Number	:	202-748-5641
Fax Number	:

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

Provider Enumeration Date	:	12/09/2015
Last Update Date	:	12/09/2015

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Directions to “ NICOLE TCHEUFFA ” Practice Location

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