Individual
CHAZ PICHETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-4000
Mailing address
519 KIMLOCH DR, GARNER, NC 27529-5121
(586) 808-3003
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
6450
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2019
Last updated
09/09/2020
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