Provider Demographics
NPI:1780045856
Name:CHEGE, DANIEL (FNP-BC)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:CHEGE
Suffix:
Gender:M
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:409 S 2ND ST STE 2F
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1612
Mailing Address - Country:US
Mailing Address - Phone:717-988-9683
Mailing Address - Fax:717-909-4676
Practice Address - Street 1:3 WALNUT ST
Practice Address - Street 2:SUITE 205
Practice Address - City:LEMOYNE
Practice Address - State:PA
Practice Address - Zip Code:17043-1168
Practice Address - Country:US
Practice Address - Phone:717-909-0520
Practice Address - Fax:717-909-4676
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-16
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV83837363LF0000X
PASP016198363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103120604Medicaid
PA522754Medicare PIN