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Individual
GINA CHASTAIN
Active
Individual
GINA CHASTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30003302
WA
363LW0102X
Women's Health Nurse Practitioner
AP30003302
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0244021
L&I AND CRIME VICTIMS
WA
05
—
1821160482
—
WA
01
—
5466637
AETNA
WA
01
—
9187CH
REGENCE
WA
Enumeration date
11/15/2006
Last updated
09/22/2010
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