Provider Demographics
NPI:1649610619
Name:CHAMURIS, AMY RIVERA (RN)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:RIVERA
Last Name:CHAMURIS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2846 FURNACE PL
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18902-1827
Mailing Address - Country:US
Mailing Address - Phone:267-897-6748
Mailing Address - Fax:
Practice Address - Street 1:2846 FURNACE PL
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18902
Practice Address - Country:US
Practice Address - Phone:267-897-6748
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-05
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN584385163W00000X
NY22 684056163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse