Individual
BERNADETTE B CHESTNUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRFNP
Contact information
Practice address
18111 PRINCE PHILIP DR, SUITE 300, OLNEY, MD 20832-1513
(301) 774-2991
(301) 260-0738
Mailing address
PO BOX 1170, OLNEY, MD 20830-1170
(301) 774-2991
(301) 260-0738
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R081807
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
648871400
—
MD
Enumeration date
08/04/2006
Last updated
05/13/2013
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