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Individual

MICHELE V CHASTAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 624-4200
(239) 624-4201
Mailing address
350 7TH ST N, NAPLES, FL 34102-5754
(239) 624-4200
(239) 624-4201

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN9481595
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024300400
FL
01
JK488Z
MEDICARE
FL
01
O9BMM
BCBS
FL
Enumeration date
10/12/2006
Last updated
11/06/2018
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