Individual
GINA CHASTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4545 CORDATA PKWY, BELLINGHAM, WA 98226-7123
(360) 738-2200
(360) 752-5687
Mailing address
PO BOX 5096, BELLINGHAM, WA 98227-5096
(360) 738-2200
(360) 752-5687
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP30003302
WA
363LW0102X
Women's Health Nurse Practitioner
AP30003302
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0244021
L&I AND CRIME VICTIMS
WA
05
—
1821160482
—
WA
01
—
5466637
AETNA
WA
01
—
9187CH
REGENCE
WA
Enumeration date
11/15/2006
Last updated
09/22/2010
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