Provider Demographics
NPI:1033247887
Name:CHIUDYE, NANCY
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:CHIUDYE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5515 W SCARINGTON CT
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32821-7936
Mailing Address - Country:US
Mailing Address - Phone:407-340-5858
Mailing Address - Fax:
Practice Address - Street 1:1339 W COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32804-7133
Practice Address - Country:US
Practice Address - Phone:407-420-2199
Practice Address - Fax:407-420-4599
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP 1775171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAP 1775OtherACUPUNCTURIST