Provider Demographics
NPI:1326316761
Name:CHINQUINA, LEEA LYNN (CRNP)
Entity Type:Individual
Prefix:MISS
First Name:LEEA
Middle Name:LYNN
Last Name:CHINQUINA
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 GREENBRIAR RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-1335
Mailing Address - Country:US
Mailing Address - Phone:717-849-5465
Mailing Address - Fax:717-767-6716
Practice Address - Street 1:520 GREENBRIAR RD
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-1335
Practice Address - Country:US
Practice Address - Phone:717-849-5465
Practice Address - Fax:717-767-6716
Is Sole Proprietor?:No
Enumeration Date:2011-12-13
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR155787363L00000X
PASP011800363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner