Provider Demographics
NPI:1801667290
Name:BROWN, CHAYLA LYNORE (APN)
Entity type:Individual
Prefix:
First Name:CHAYLA
Middle Name:LYNORE
Last Name:BROWN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 AVON ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-3760
Mailing Address - Country:US
Mailing Address - Phone:484-619-6817
Mailing Address - Fax:
Practice Address - Street 1:744 GALLOPING HILL RD
Practice Address - Street 2:
Practice Address - City:ROSELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07204-1700
Practice Address - Country:US
Practice Address - Phone:484-619-6817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-15
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP029050363LF0000X, 363LP2300X
NJ26NJ15011600363LP2300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care