MEDICARE: ZAKARIA CHEGE RN

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	163WM0705X	Medical-Surgical Registered Nurse	160664-30	WI

General Provider Information

NPI Number	:	1952808784
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAKARIA CHEGE RN

Provider Business Mailing Address
First Line	:	7290 STEWART DR
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55346-3248
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7290 STEWART DR
Second Line	:
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55346-3248
Country	:	US
Telephone Number	:	952-846-9396
Fax Number	:

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

Provider Enumeration Date	:	04/09/2018
Last Update Date	:	04/09/2018

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