Individual
CHENDRA PATRECE DIKKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGAC NP
Contact information
Practice address
4400 EASTON CMNS STE 125, COLUMBUS, OH 43219-6223
(574) 546-1900
(574) 546-1999
Mailing address
PO BOX 11167, FORT WAYNE, IN 46856-1167
(574) 546-1900
(574) 546-1999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.0028813
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0028813
OH
Other
Enumeration date
10/06/2021
Last updated
02/28/2022
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