Provider Demographics
NPI:1558247965
Name:CHISCHILLY, ZERLINA (CHW)
Entity type:Individual
Prefix:
First Name:ZERLINA
Middle Name:
Last Name:CHISCHILLY
Suffix:
Gender:F
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 N FIFTH ST
Mailing Address - Street 2:
Mailing Address - City:GALLUP
Mailing Address - State:NM
Mailing Address - Zip Code:87301-5306
Mailing Address - Country:US
Mailing Address - Phone:505-470-5749
Mailing Address - Fax:
Practice Address - Street 1:610 N FIFTH ST
Practice Address - Street 2:
Practice Address - City:GALLUP
Practice Address - State:NM
Practice Address - Zip Code:87301-5306
Practice Address - Country:US
Practice Address - Phone:505-470-5749
Practice Address - Fax:505-470-5749
Is Sole Proprietor?:No
Enumeration Date:2025-08-12
Last Update Date:2025-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker