Individual
MS. BEVERLY JEAN CHASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHN, CNS
Contact information
Practice address
322 MAIN ST, BAR HARBOR, ME 04609-1648
(207) 288-8604
(207) 288-8602
Mailing address
10 WAYMAN LN, PO BOX 8, BAR HARBOR, ME 04609-1625
(207) 288-5081
(207) 288-8600
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R018907
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257300099
—
ME
01
—
R018907
MAINE LICENSE
ME
Enumeration date
04/26/2007
Last updated
03/25/2013
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