Individual
CHRISTINE LYNN ARCHER CHICKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
51 N 39TH ST, SUITE 120, PHILADELPHIA, PA 19104-2640
(215) 662-8767
Mailing address
51 N 39TH ST, SUITE 120, PHILADELPHIA, PA 19104-2640
(215) 662-8767
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
VP006062P
PA
Other
Enumeration date
08/06/2007
Last updated
10/21/2014
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