Healthcare Provider Details

I. General information

NPI: 1235567603
Provider Name (Legal Business Name): NATALIE CHIAROLANZA PAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2013
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2925 WILLIAM PENN HWY STE 104
EASTON PA
18045-5283
US

IV. Provider business mailing address

2925 WILLIAM PENN HWY STE 104
EASTON PA
18045-5283
US

V. Phone/Fax

Practice location:
  • Phone: 484-822-5475
  • Fax:
Mailing address:
  • Phone: 484-822-5475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA056504
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: