Individual provider · Type 1 NPI
Sophia Rachel Chacko, R.N., C.P.R.N
Family Nurse Practitioner · Philadelphia, PA
NPI number
1922497361
Active
Practice location
925 Chestnut St, 5th Floor
Philadelphia, PA 19107-4216
Fax (215) 503-0580
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 26NR17168500 (NJ) |
| Registered Nurse | 163W00000X | RN650774 (PA) |
| Family Nurse Practitioner Primary | 363LF0000X | SP014506 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1922497361
Sophia Rachel Chacko, R.N., C.P.R.N's National Provider Identifier is 1922497361, issued on Jan 22, 2015. 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 20, 2018.