Provider Demographics
NPI:1437912284
Name:CHAMBERS, NICHELLE RENAY (LPN)
Entity type:Individual
Prefix:MS
First Name:NICHELLE
Middle Name:RENAY
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 LATITUDE LN APT 2D
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23601-2400
Mailing Address - Country:US
Mailing Address - Phone:757-572-9525
Mailing Address - Fax:
Practice Address - Street 1:700 LATITUDE LN APT 2D
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23601-2400
Practice Address - Country:US
Practice Address - Phone:757-572-9525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care