Individual
NATHANIEL COLM CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
555 E HARDY ST, INGLEWOOD, CA 90301-4011
(562) 336-6173
Mailing address
3853 N GREENBRIER RD, LONG BEACH, CA 90808-1815
(562) 336-6173
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95014799
CA
Other
Enumeration date
07/07/2020
Last updated
07/10/2020
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