Chelise Mae Deoliveira, PNP
Nurse Practitioner, Pediatrics in Mineola, NY. Individual provider (NPI-1).
NPI number1508101528
StatusActive
Last updated in NPPESAug 11, 2022
Details
- NPI
- 1508101528
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Chelise Mae Deoliveira
- Credential
- PNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 3, 2012
- Certification date
- Aug 11, 2022
- Last updated
- Aug 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0200X | Nurse Practitioner, Pediatrics | F382331-1 | NY | Yes |
Practice location
259 1st StMineola, NY 11501-3957
Phone 516-663-2288
Mailing address
259 1st StMineola, NY 11501-3957
Other practice locations
475 Seaview Ave
Staten Island, NY 10305-3436
Staten Island, NY 10305-3436
Phone 516-313-7323
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