Individual
MS. MARY ANN CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3600 W FLORIDA AVE, HEMET, CA 92545-3501
(407) 319-6363
Mailing address
3175 W INTERNATIONAL SPEEDWAY BLVD, DAYTONA BEACH, FL 32124-1019
(407) 319-6363
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN 3234262
FL
163WE0003X
Emergency Registered Nurse
Primary
633159
CA
Other
Enumeration date
07/29/2012
Last updated
07/29/2012
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