Healthcare Provider Details

I. General information

NPI: 1700647369
Provider Name (Legal Business Name): YANIQUE ROESHELLE CHAMBERS DNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4055 MONROEVILLE BLVD STE 300
MONROEVILLE PA
15146-2522
US

IV. Provider business mailing address

4055 MONROEVILLE BLVD
MONROEVILLE PA
15146-2522
US

V. Phone/Fax

Practice location:
  • Phone: 412-414-9916
  • Fax:
Mailing address:
  • Phone: 412-414-9915
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberSP028483
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: