Individual
LATRICIA DAIL CHASTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2334 41ST ST, WILMINGTON, NC 28403-5502
(910) 815-3122
Mailing address
2334 41ST ST, WILMINGTON, NC 28403-5502
(910) 815-3122
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5005452
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1821366436
—
NC
05
—
NP2519
—
SC
Enumeration date
12/09/2011
Last updated
01/30/2025
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