Provider Demographics
NPI:1578678488
Name:CHICHON, PATRICIA G (RN APNC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:G
Last Name:CHICHON
Suffix:
Gender:F
Credentials:RN APNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 327
Mailing Address - Street 2:
Mailing Address - City:LAMBERTVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08530-0327
Mailing Address - Country:US
Mailing Address - Phone:609-397-1466
Mailing Address - Fax:609-397-1013
Practice Address - Street 1:242 ROCK RD W
Practice Address - Street 2:
Practice Address - City:LAMBERTVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08530-2807
Practice Address - Country:US
Practice Address - Phone:609-397-1466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN06196700363LA2200X, 363LP0200X
PAUP004506C363LA2200X
PAUP003247D363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Not Answered363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJCH003360Medicare ID - Type Unspecified
NJS47020Medicare UPIN