Individual provider · Type 1 NPI

Mini Chacko, NNP

Critical Care Neonatal Nurse Practitioner · Livingston, NJ

NPI number 1467908517 Active

Practice location

94 Old Short Hills Rd
Livingston, NJ 07039-5672

Mailing address

8 Edgemere Rd
Livingston, NJ 07039-2807

Specialties and licenses

TaxonomyCodeLicense
Critical Care Neonatal Nurse Practitioner Primary 363LN0005X26NJ00655400 (NJ)

Critical Care Neonatal Nurse Practitioner: Definition to come...

609 other providers at this address

About NPI 1467908517

Mini Chacko, NNP's National Provider Identifier is 1467908517, issued on Aug 29, 2016. The primary taxonomy on file is Critical Care Neonatal Nurse Practitioner (363LN0005X), and the practice location is in Livingston, NJ. The record was last updated on Aug 29, 2016.