Provider Demographics
NPI:1689220188
Name:CHIKOVE, FARAI LINDA (RN)
Entity Type:Individual
Prefix:
First Name:FARAI
Middle Name:LINDA
Last Name:CHIKOVE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 BRIGHAM HILL RD APT 2
Mailing Address - Street 2:
Mailing Address - City:GRAFTON
Mailing Address - State:MA
Mailing Address - Zip Code:01519-1187
Mailing Address - Country:US
Mailing Address - Phone:413-885-7988
Mailing Address - Fax:
Practice Address - Street 1:5 BRIGHAM HILL RD APT 2
Practice Address - Street 2:
Practice Address - City:GRAFTON
Practice Address - State:MA
Practice Address - Zip Code:01519-1187
Practice Address - Country:US
Practice Address - Phone:413-885-7988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-12
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2281853163WH0200X
MA2281853163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health