SUSAN CHACKO APRN NPI 1710573159

NPI Information

NPI: 1710573159
Provider Name: SUSAN CHACKO, APRN
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
5200 HARRY HINES BLVD
DALLAS, TX
ZIP 75235
Phone: (516) 941-7930
Get Directions

Susan Chacko, APRN is a primary care nurse practitioner in Dallas, TX. Susan Chacko, APRN NPI is 1710573159. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5200 HARRY HINES BLVD
DALLAS, TX
ZIP 75235-709
Phone: (516) 941-7930

The enumeration date for this NPI number is 12/20/2020 and was last updated on 12/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP2300X	Nurse Practitioner	Primary Care	AP140734	TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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