Individual
THEODORE JOHN CHERNYL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP, PMHNP-BC
Contact information
Practice address
98 WALLER ST, LARKSVILLE, PA 18704-1553
(570) 760-3569
Mailing address
98 WALLER ST, LARKSVILLE, PA 18704-1553
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP028177
PA
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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