Provider Demographics
NPI:1770591737
Name:CHIKOTAS, NOREEN ELAINE (CRNP MSN DED)
Entity type:Individual
Prefix:MRS
First Name:NOREEN
Middle Name:ELAINE
Last Name:CHIKOTAS
Suffix:
Gender:F
Credentials:CRNP MSN DED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:358 WHITE HORSE RD
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17846
Mailing Address - Country:US
Mailing Address - Phone:570-458-4285
Mailing Address - Fax:570-389-5800
Practice Address - Street 1:335 MARKET ST
Practice Address - Street 2:
Practice Address - City:SUNBURY
Practice Address - State:PA
Practice Address - Zip Code:17801
Practice Address - Country:US
Practice Address - Phone:570-988-1270
Practice Address - Fax:570-286-4050
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP003517B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily