Provider Demographics
NPI:1750679726
Name:CHMYR, LYUDMILA (REGISTERED NURSE)
Entity Type:Individual
Prefix:MRS
First Name:LYUDMILA
Middle Name:
Last Name:CHMYR
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:548 KELLOGG RD
Mailing Address - Street 2:
Mailing Address - City:MILAN
Mailing Address - State:PA
Mailing Address - Zip Code:18831-7823
Mailing Address - Country:US
Mailing Address - Phone:570-596-2432
Mailing Address - Fax:
Practice Address - Street 1:548 KELLOGG RD
Practice Address - Street 2:
Practice Address - City:MILAN
Practice Address - State:PA
Practice Address - Zip Code:18831-7823
Practice Address - Country:US
Practice Address - Phone:570-596-2432
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-12
Last Update Date:2011-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY539286163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse