Individual
MISS NINA M. CHYCHULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNP
Contact information
Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
9713 LOCHWOOD RD, PHILADELPHIA, PA 19115-2507
(215) 464-8609
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
PS015265
PA
103TC0700X
Clinical Psychologist
Primary
PS015265
PA
163W00000X
Registered Nurse
RN219172L
PA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
RN219172L
PA
363L00000X
Nurse Practitioner
SP007233
PA
363LF0000X
Family Nurse Practitioner
SP007233
PA
Other
Enumeration date
08/17/2006
Last updated
09/11/2025
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