Healthcare Provider Details

I. General information

NPI: 1821254038
Provider Name (Legal Business Name): CHANTAL E. TRICE CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHANTAL E. SAXTON

II. Dates (important events)

Enumeration Date: 08/07/2008
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 S WASHINGTON AVE
GREENSBURG PA
15601-2768
US

IV. Provider business mailing address

44 S WASHINGTON AVE
GREENSBURG PA
15601-2768
US

V. Phone/Fax

Practice location:
  • Phone: 724-836-1862
  • Fax: 724-689-0543
Mailing address:
  • Phone: 724-836-1862
  • Fax: 724-689-0543

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP009887
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: