# VINCENT CHMIELARCZYK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1619183001
- **Gender:** Man
- **Credential:** PNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 17857 | AK | — |
| 163W00000X | Registered Nurse | R63290 | NM | — |
| 363LP0200X | Pediatric Nurse Practitioner | 469 | AK | — |
| 363LP0200X | Pediatric Nurse Practitioner | CNP01422 | NM | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 11/29/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30481775 | — | NM |