Individual
JOHNATHAN MICHAEL CHAMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 421-1400
(508) 421-1490
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
RN2293398
MA
363L00000X
Nurse Practitioner
Primary
RN2293398
MA
Other
Enumeration date
03/18/2021
Last updated
09/27/2022
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