Provider Demographics
NPI:1598251936
Name:CHMIEL-TOWLE, SAMANTHA (NP-C)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:
Last Name:CHMIEL-TOWLE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 ROYAL MANOR RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-8705
Mailing Address - Country:US
Mailing Address - Phone:908-797-5789
Mailing Address - Fax:
Practice Address - Street 1:187 COUNTY ROAD 519 STE 1
Practice Address - Street 2:
Practice Address - City:BELVIDERE
Practice Address - State:NJ
Practice Address - Zip Code:07823-1900
Practice Address - Country:US
Practice Address - Phone:908-847-3418
Practice Address - Fax:908-847-3419
Is Sole Proprietor?:No
Enumeration Date:2018-07-09
Last Update Date:2018-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00827400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily