| Doctor Name: | MRS. CARI A CHATHAM |
| NPI Number: | 1003196247 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BSN RN |
| License Number: | 133654-030 |
| Business Practice Address: | W1048 Miramar Rd East Troy, WI - 531202227 |
| Business Phone Number: | 4144911236 |
| Business Fax Number: | |
| Mailing Address: | W1048 Miramar Rd, EAST TROY |
| State: | WI |
| Postal Code: | 531202227 |
| Phone Number: | 4144911236 |
| Fax Number: | |
| NPI Enumeration Date: | 08/19/2011 |
| NPI Last Update Date: | 08/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0200X |
| License Number: | 133654-030 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |