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NPI Code Detail

MEDICARE: WINIFRED NCHOTU FNP-C

MEDICARE:   WINIFRED  NCHOTU  FNP-C
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 Practitioner0024170142VA

General Provider Information

NPI Number : 1730437435
Entity Type Code : Individual
Provider Name (Legal Business Name) : WINIFRED NCHOTU FNP-C
Provider Business Mailing Address
First Line : PO BOX 1239
Second Line :
City : TROY
State : MI
Zip : 48099-1239
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7447 CENTRAL BUSINESS PARK DR
Second Line : STE 104B
City : NORFOLK
State : VA
Zip : 23513-2831
Country : US
Telephone Number : 757-644-0140
Fax Number : 855-665-5631
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2012
Last Update Date : 04/17/2015

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Directions to “ WINIFRED NCHOTU FNP-C” Practice Location

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