Provider Demographics
NPI:1265247829
Name:CHAMBERS, RONITA
Entity type:Individual
Prefix:
First Name:RONITA
Middle Name:
Last Name:CHAMBERS
Suffix:
Gender:U
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 HALSEY LN
Mailing Address - Street 2:
Mailing Address - City:EVESHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-5905
Mailing Address - Country:US
Mailing Address - Phone:609-556-4774
Mailing Address - Fax:
Practice Address - Street 1:141 HALSEY LN
Practice Address - Street 2:
Practice Address - City:EVESHAM
Practice Address - State:NJ
Practice Address - Zip Code:08053-5905
Practice Address - Country:US
Practice Address - Phone:609-556-4774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-11
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15275700363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health