Basic Information
Provider Information
NPI: 1548403124
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHIARINI
FirstName: BILLIE
MiddleName: JEAN
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2828 CORNELL AVE
Address2:  
City: NEW CASTLE
State: PA
PostalCode: 161016209
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 2250 HICKORY RD
Address2:  
City: PLYMOUTH MEETING
State: PA
PostalCode: 194621047
CountryCode: US
TelephoneNumber: 8008794471
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/13/2009
LastUpdateDate: 04/13/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
164W00000XPN258774LPAY Nursing Service ProvidersLicensed Practical Nurse 

No ID Information.


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