| Provider / Organization | NPI | Date Certified |
|---|---|---|
| TETYANA CHMYROVA | 1457013161 | 2022-10-19 |
Tetyana Chmyrova is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1457013161. Registration indicates Tetyana Chmyrova is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Gerontology, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Gerontology, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Entity Type | Individual |
| Provider Name | Tetyana Chmyrova AGNP-C |
| Practice Office Address | 459 JACK MARTIN BLVD STE 5 BRICK, NJ US |
| Practice Office Telephone | 7328404200 |
| Mailing Address | 20 HOSPITAL DR STE 9 TOMS RIVER, NJ 087556434 US |
| Address | City / State | Phone / Fax |
|---|---|---|
| 20 Hospital Dr Ste 9 | Toms River, NJ 087556434 | 7323411380 |
| Code | Practice | License No State |
|---|---|---|
| 363L00000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner All Other Specialties & Provider Types Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers | 0024182359
VA |
| 363LG0600X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Gerontology All Other Specialties & Provider Types Nurse Practitioner Gerontology Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 26NJ01407800
NJ |