Doctor Name: | GREGORY EUGENE CHESTER |
NPI Number: | 1821259896 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | FNP |
License Number: | 196373-4405 |
Business Practice Address: | 410 W 600 N Lindon, UT - 840421331 |
Business Phone Number: | 8017857185 |
Business Fax Number: | |
Mailing Address: | 410 W 600 N, LINDON |
State: | UT |
Postal Code: | 840421331 |
Phone Number: | 8017857185 |
Fax Number: | |
NPI Enumeration Date: | 06/22/2008 |
NPI Last Update Date: | 06/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 196373-4405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |