Individual
CHASTITY DEGRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7124 COMMONS DR UNIT C, CHEYENNE, WY 82009-2620
(307) 426-4060
Mailing address
33 CARVER RD, FRAMINGHAM, MA 01701-4431
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
965544
TX
363LF0000X
Family Nurse Practitioner
Primary
54193
WY
Other
Enumeration date
04/17/2024
Last updated
04/19/2024
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