Individual
CHRYSELLE NAZARE
Active
Individual
CHRYSELLE NAZARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
066389
GA
208M00000X
Hospitalist Physician
066389
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110517A
—
GA
01
—
01438428
AMERIGROUP
—
01
—
618947
WELLCARE
GA
05
—
GA1207
—
SC
01
—
P00949152
RAILROAD MEDICARE
GA
Enumeration date
06/16/2008
Last updated
08/23/2022
Update your record
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