Individual
DEBORAH ANN CHESTNUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
904 SCIOTO ST, URBANA, OH 43078-2226
(937) 484-6157
(937) 484-6181
Mailing address
5077 WHEELOCK RD, TROY, OH 45373-9545
(937) 698-7265
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN-148545
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2203038
—
OH
Enumeration date
11/24/2006
Last updated
11/27/2007
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