Individual provider · Type 1 NPI

Anita Chacko, RNP-C

Gerontology Nurse Practitioner · Dallas, TX

NPI number 1346449535 Active

Practice location

7441 Marvin D Love Fwy, Suite 300
Dallas, TX 75237-3490

Fax (972) 572-4842

Mailing address

9696 Skillman St, Suite 285 Lb 42
Dallas, TX 75243-8264

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X699985 (TX)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1346449535

Anita Chacko, RNP-C's National Provider Identifier is 1346449535, issued on Jul 17, 2007. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Dallas, TX. The record was last updated on Jul 17, 2007.