Provider Demographics
NPI:1558953992
Name:CHIARUTTINI, NINA DANYELLE (CRNP)
Entity type:Individual
Prefix:
First Name:NINA
Middle Name:DANYELLE
Last Name:CHIARUTTINI
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:601 MEMORY LN
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-2231
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:
Practice Address - Street 1:4910 FAIRFIELD RD STE A
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:PA
Practice Address - Zip Code:17320-9510
Practice Address - Country:US
Practice Address - Phone:717-339-3175
Practice Address - Fax:717-255-0950
Is Sole Proprietor?:No
Enumeration Date:2021-02-08
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PA704145163W00000X
PASP023352363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse