Individual
CHAYA SHUCHAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1730 E BROAD ST, HAZLETON, PA 18201-5657
(570) 704-4648
Mailing address
1730 E BROAD ST, HAZLETON, PA 18201-5657
(570) 704-4648
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
SP15918
PA
Other
Enumeration date
09/24/2012
Last updated
05/20/2024
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