Individual
CHASTITY RANAE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
100 HOSPITAL LN STE 300, DANVILLE, IN 46122-2000
(317) 456-9064
(317) 386-5468
Mailing address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-4451
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71009115A
IN
Other
Enumeration date
06/19/2019
Last updated
06/02/2025
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