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Individual

MRS. ADAEZE CHIKA OHAETO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
151 NW 11TH ST STE 202B, HOMESTEAD, FL 33030-4360
(305) 248-0203
(786) 533-9291
Mailing address
151 NW 11TH ST STE 202B, HOMESTEAD, FL 33030-4360
(305) 248-0203
(786) 533-9291

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
ARNP3134902
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN3134902
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004758400
FL
Enumeration date
04/16/2008
Last updated
01/17/2024
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