| Doctor Name: | MS. HEATHER TOLMAN CHASE |
| NPI Number: | 1013240571 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP-C |
| License Number: | AP091046 |
| Business Practice Address: | 96 Campus Dr Suite 1 Scarborough, ME - 040747163 |
| Business Phone Number: | 2078859905 |
| Business Fax Number: | 2073965600 |
| Mailing Address: | 301c Us Route 1, SCARBOROUGH |
| State: | ME |
| Postal Code: | 040749701 |
| Phone Number: | 2073968600 |
| Fax Number: | 2073968632 |
| NPI Enumeration Date: | 09/15/2009 |
| NPI Last Update Date: | 10/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | AP091046 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |