Healthcare Provider Details

I. General information

NPI: 1194271627
Provider Name (Legal Business Name): CYNTHIA ANN CHEW CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2016
Last Update Date: 08/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 W NEWTON ST
GREENSBURG PA
15601-2861
US

IV. Provider business mailing address

555 W NEWTON ST
GREENSBURG PA
15601-2861
US

V. Phone/Fax

Practice location:
  • Phone: 724-832-7045
  • Fax: 724-832-9165
Mailing address:
  • Phone: 724-832-7045
  • Fax: 724-832-9165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberSP016498
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: