Individual
DANIELA CHETAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5379 LYONS RD, COCONUT CREEK, FL 33073-2810
(786) 505-4423
(561) 225-2034
Mailing address
7013 NW 67TH TER, PARKLAND, FL 33067-4734
(561) 985-2730
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
11003096
FL
363LF0000X
Family Nurse Practitioner
11003096
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11003096
FL
Other
Enumeration date
06/18/2019
Last updated
07/22/2024
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