Individual
AUDRA LAINE CHASTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8000 HWY 69, GUNTERSVILLE, AL 35976
(256) 571-8087
Mailing address
8000 HWY 69, GUNTERSVILLE, AL 35976
(256) 571-8087
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-094421
AL
Other
Enumeration date
11/18/2011
Last updated
01/12/2013
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