Provider Demographics
NPI:1235808700
Name:CHIKE, CAROL CHINYEREM (FNP-BC)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:CHINYEREM
Last Name:CHIKE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7103 MEGAN LN
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3015
Mailing Address - Country:US
Mailing Address - Phone:240-487-8629
Mailing Address - Fax:
Practice Address - Street 1:1435 N COURTHOUSE RD
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-2640
Practice Address - Country:US
Practice Address - Phone:703-228-4689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-08
Last Update Date:2022-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR210123363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily