Individual
NATHAN BRYANT CHITWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
280 MAPLE ST, ASHLAND, OR 97520-1552
(541) 201-4000
Mailing address
645 OLD HICKORY BLVD APT 324, NASHVILLE, TN 37209-5254
(775) 247-4048
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201905531NP-PP
OR
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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