Nancy Chiarello, DO
Individual provider Active NPI Psychosomatic Medicine Physician · Atlantic Beach, FL
NPI 1083019111 · NPPES record last updated Oct 31, 2014
Key facts
- NPI
- 1083019111
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychosomatic Medicine Physician 2084P0015X
- License
- OS7817 (FL)
- Practice address
- 174 Oceanwalk Dr S
Atlantic Beach, FL 32233-4678 - Phone
- (904) 249-5673
- NPI assigned
- Oct 31, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS7817 | FL | MD | Psychosomatic Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychosomatic Medicine Physician | 2084P0015X | OS7817 | FL | Yes |
Addresses
Primary practice location
174 Oceanwalk Dr S
Atlantic Beach, FL 32233-4678
Mailing address
174 Oceanwalk Dr S
Atlantic Beach, FL 32233-4678
Phone (904) 249-5673
Other providers in Atlantic Beach, FL
- Maegan Burns
- Elizabeth Ann Byrnes
- Ingrid Carlson
- Kelly Charest
- Carol Chiang
- Erin Clancy
- Colleen Clarke-Romero
- Coastal Acupuncture Inc.
- Core Wound Care
- Korina L Cortes
All providers in Atlantic Beach, FL · Psychosomatic Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.