Provider Demographics
NPI:1194944181
Name:CHEKANOWSKY, NICOLE (PA-C)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:CHEKANOWSKY
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 1:464 ALLEGHENY BLVD STE 2D
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:PA
Mailing Address - Zip Code:16323-6259
Mailing Address - Country:US
Mailing Address - Phone:814-437-6793
Mailing Address - Fax:814-437-6797
Practice Address - Street 1:464 ALLEGHENY BLVD STE 2D
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:PA
Practice Address - Zip Code:16323-6259
Practice Address - Country:US
Practice Address - Phone:814-437-6793
Practice Address - Fax:814-437-6797
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2025-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA051427363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant