Organization
ESSENTIALYZE HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDELLE WRONG NURSE PRACTITIONER (PRESIDENT)
(305) 927-6391
Entity
Organization
Contact information
Practice address
180 BROOME ST, APT 1303, NEW YORK, NY 10002-1000
(305) 927-6391
Mailing address
2207 HEDGEROW WAY, JONESBORO, GA 30236-9002
(305) 927-6391
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/02/2021
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