Individual
MRS. CAROL ANN CHUKWUKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 383-1900
(563) 328-5690
Mailing address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 383-1900
(563) 328-5690
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G155244
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G155244
LICENSE NUMBER
IA
Enumeration date
07/19/2019
Last updated
05/22/2024
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