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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MINI CHACKO, NNP

Active Sole Proprietor

MINI CHACKO, NNP is a Neonatal Critical Care Nurse Practitioner healthcare provider located in LIVINGSTON, New Jersey. NPI 1467908517 is currently active in the NPPES registry. Verify at CMS.

Neonatal Critical Care Nurse Practitioner · LIVINGSTON, NJ

Registration Details

NPI Number
1467908517
Provider Type
Individual
Gender
Female
NPI Issued
Aug 29, 2016 (9.9164365639535 yrs)
Last Updated
Aug 29, 2016
License
26NJ00655400 (NJ)
Sole Proprietor
Yes

Practice Information

Address
94 OLD SHORT HILLS RD
LIVINGSTON, NJ, 070395672
Browse NJ providers · Browse ZIP 07039
Phone
9733225000
Primary Specialty
Neonatal Critical Care Nurse Practitioner
363LN0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.