Provider Demographics
NPI:1003977042
Name:CHADWELL, RENE' JANELLE (MPAS, PA-C)
Entity Type:Individual
Prefix:MS
First Name:RENE'
Middle Name:JANELLE
Last Name:CHADWELL
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Gender:F
Credentials:MPAS, PA-C
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Mailing Address - Street 1:1617 S GOLDENEYE LN
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33035-1028
Mailing Address - Country:US
Mailing Address - Phone:305-224-6427
Mailing Address - Fax:305-224-6428
Practice Address - Street 1:3511 NW 91ST AVE
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33172-1216
Practice Address - Country:US
Practice Address - Phone:305-437-1393
Practice Address - Fax:305-437-1064
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical