Chanda Nicosia, CSFA/LSA

NPI 1316114655 · on the registry since 2008 · sole proprietor

Practice

Address: 13674 Arizona Dr
Tyler, TX 75707
Phone: (903) 216-3561
Fax: (903) 566-6816
Organisation at this address: Nicosia Enterprises Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 363AS0400X
363AS0400X
Also registered as: 246ZC0007X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2015-11-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas