Individual provider · Type 1 NPI
Lincy Chacko
Family Nurse Practitioner · Philadelphia, PA
NPI number
1487353405
Active
Practice location
2237 Conwell Ave
Philadelphia, PA 19115-2301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | SP025858 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1487353405
Lincy Chacko's National Provider Identifier is 1487353405, issued on Feb 28, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 28, 2023.