Individual
WHITNEY CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
801 7TH AVE, FORT WORTH, TX 76104-2733
(682) 885-4193
(682) 885-7956
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
990030
CO
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
1850
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280315702
—
TX
01
—
280315703
CSHCN
TX
05
—
61802735
—
CO
Enumeration date
09/27/2010
Last updated
07/29/2016
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