Individual
CATTALEEYA CHANTAROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
(203) 384-3000
Mailing address
2995 DREW ST, CLEARWATER, FL 33759-3012
(727) 315-6775
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
59910
NM
363L00000X
Nurse Practitioner
APRN9363001
FL
363L00000X
Nurse Practitioner
CNP59910
NM
363LG0600X
Gerontology Nurse Practitioner
14775
CT
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN936301
FL
Other
Enumeration date
08/23/2018
Last updated
01/28/2026
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