Chinazo Malizu, RN
Nurse Practitioner in Lafayette, LA. Individual provider (NPI-1).
NPI number1124868435
StatusActive
Last updated in NPPESMay 27, 2024
Details
- NPI
- 1124868435
- Entity type
- Individual (NPI-1)
- Name
- Chinazo Malizu
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 27, 2024
- Certification date
- May 26, 2024
- Last updated
- May 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN132077 | LA | Yes |
Practice location
115 Beech DrLafayette, LA 70507-3737
Phone 337-308-1424
Mailing address
115 Beech DrLafayette, LA 70507-3737
Phone 337-308-1424
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