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Individual

RAICHETON CHEVETTE LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NNP-BC

Contact information

Practice address
1005 JOE DIMAGGIO DR, HOLLYWOOD, FL 33021-5402
(317) 626-1031
Mailing address
7965 CHILTERN DR, INDIANAPOLIS, IN 46268-2025
(317) 626-1031

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
11004045
FL
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
0000000
FL

Other

Enumeration date
09/05/2019
Last updated
02/04/2026
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