Doctor Name: | ERIN N CHASE |
NPI Number: | 1134238744 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP30007459 |
Business Practice Address: | 1299 Bishop Rd Chehalis, WA - 985328758 |
Business Phone Number: | 3607480211 |
Business Fax Number: | 3607404170 |
Mailing Address: | Po Box 1267, CHEHALIS |
State: | WA |
Postal Code: | 985320260 |
Phone Number: | 3607480211 |
Fax Number: | 3607404170 |
NPI Enumeration Date: | 08/29/2006 |
NPI Last Update Date: | 11/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP30007459 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |