Alexis Rosa Chandik, CRNA | |
4 Russet Ct, Durham, NC 27712-1269 | |
(704) 574-4591 | |
Not Available |
Full Name | Alexis Rosa Chandik |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 4 Russet Ct, Durham, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922705417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WC0200X | Registered Nurse - Critical Care Medicine | 283276 (North Carolina) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | 7302 (North Carolina) | Primary |
Entity Name | Duke University Health System Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558392977 PECOS PAC ID: 2567372345 Enrollment ID: O20031201000521 |
Mailing Address | Practice Location Address |
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Alexis Rosa Chandik, CRNA Po Box 110566, Durham, NC 27709-5566 Ph: (919) 620-4855 | Alexis Rosa Chandik, CRNA 4 Russet Ct, Durham, NC 27712-1269 Ph: (704) 574-4591 |
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Derrick Cephano Glymph, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2301 Erwin Rd, Durham, NC 27705 Phone: 919-684-8111 | |
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