Individual
DR. NANCY B. CHASTEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
921 E LLANO ESTACADO BLVD, CLOVIS, NM 88101-3807
(505) 763-4335
Mailing address
921 E LLANO ESTACADO BLVD, CLOVIS, NM 88101-3807
(505) 763-4335
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
H2298
TX
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
H2298
TX
207Q00000X
Family Medicine Physician
H2298
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140191139
—
TX
05
—
140191141
—
TX
Enumeration date
05/17/2006
Last updated
06/23/2008
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