Provider Demographics
NPI:1871888024
Name:CHEW, TANYA J (PA-C)
Entity type:Individual
Prefix:
First Name:TANYA
Middle Name:J
Last Name:CHEW
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 PLANK RD
Mailing Address - Street 2:
Mailing Address - City:SHINGLEHOUSE
Mailing Address - State:PA
Mailing Address - Zip Code:16748-5305
Mailing Address - Country:US
Mailing Address - Phone:910-580-8445
Mailing Address - Fax:
Practice Address - Street 1:555 PLANK RD
Practice Address - Street 2:
Practice Address - City:SHINGLEHOUSE
Practice Address - State:PA
Practice Address - Zip Code:16748-5305
Practice Address - Country:US
Practice Address - Phone:910-580-8445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-16
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY026423363AM0700X
MDC0006731363AM0700X
NC0010-04096363AM0700X
PAMA054882363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical