Individual
IRINA CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, NP, IBCLC
Contact information
Practice address
1107 CARDIGAN DR, WALNUT CREEK, CA 94596-6441
(925) 324-7796
Mailing address
1107 CARDIGAN DR, WALNUT CREEK, CA 94596-6441
(925) 324-7796
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
706610
CA
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
706610
CA
163WN0002X
Neonatal Intensive Care Registered Nurse
706610
CA
363L00000X
Nurse Practitioner
23815
CA
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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