Provider Demographics
NPI:1447383484
Name:CHAFFEE-PASQUANTONIO, JANUARY M (CRNP)
Entity Type:Individual
Prefix:
First Name:JANUARY
Middle Name:M
Last Name:CHAFFEE-PASQUANTONIO
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:440 E MARSHALL ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-5415
Mailing Address - Country:US
Mailing Address - Phone:610-738-2500
Mailing Address - Fax:610-738-2540
Practice Address - Street 1:440 E MARSHALL ST STE 201
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-5414
Practice Address - Country:US
Practice Address - Phone:610-738-2500
Practice Address - Fax:610-738-2540
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYF304038-1363LA2200X, 363LA2200X
PASP010506363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health