Doctor Name: | STEFFEN DANIEL CHASE |
NPI Number: | 1205218724 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP-BC |
License Number: | 20091 |
Business Practice Address: | 1990 Holton Ave E Big Stone Gap, VA - 242193350 |
Business Phone Number: | 2765233111 |
Business Fax Number: | |
Mailing Address: | 415 Broad St, Suite 410 KINGSPORT |
State: | TN |
Postal Code: | 376604263 |
Phone Number: | 4232399737 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2015 |
NPI Last Update Date: | 06/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 20091 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |