Individual provider · Type 1 NPI
Nicholas Raymond Chalifoux, DNP
Primary Care Nurse Practitioner · Lady Lake, FL
NPI number
1235047044
Active
Practice location
2149 Margarita Dr
Lady Lake, FL 32159-9545
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 6065 (HI) |
| Primary Care Nurse Practitioner Primary | 363LP2300X | 312922 (NY) |
Primary Care Nurse Practitioner: Definition to come...
Other primary care nurse practitioner providers in Lady Lake
About NPI 1235047044
Nicholas Raymond Chalifoux, DNP's National Provider Identifier is 1235047044, issued on Sep 1, 2026. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Lady Lake, FL. The record was last updated on Sep 1, 2026.