National Provider Identifier

Chasity Jacquel Myrthil, NP

Chasity Jacquel Myrthil, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Williamson, NY and a listed phone number of (315) 483-3280.

NPI 1033771654Williamson, NYFamily Nurse Practitioner

Profile Overview

NPI
1033771654
Provider Type
Individual
Primary Specialty
Family Nurse Practitioner
Enumeration Date
July 03, 2019
Last Updated
July 03, 2019

Practice Location

  • 4425 Old Ridge RD
  • Williamson, NY 14589-9363

Phone: (315) 483-3280

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Family Nurse Practitioner (363LF0000X)
Full Record
NPI
1033771654
Entity Type
Individual
Last Name
Myrthil
First Name
Chasity
Middle Name
Jacquel
Credential
NP
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(585) 922-1900
Mailing Fax
(585) 922-1002
Practice Street Address
4425 Old Ridge RD
Practice City
Williamson
Practice State
NY
Practice ZIP Code
14589-9363
Practice Country
US
Practice Phone
(315) 483-3280
Practice Fax
(315) 589-4893
Enumeration Date
July 03, 2019
Last Updated
July 03, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Family Nurse Practitioner (363LF0000X)
Other Identifiers
14480124 (NY, Caqh)