Manda L Chatelain is a Family in Phoenix, Arizona. Manda L Chatelain practices all healthcare services and medical treatments related to Family. The NPI Number for Manda L Chatelain is 1124049838. The last update date is 2023-07-17.
Manda L Chatelain's current location address is 1331 N 7th St, Phoenix, Arizona. You can contact this provider via phone number 6022543151. The mailing address for Manda L Chatelain is 1331 N 7th St, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
Provider Name | Manda L Chatelain |
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Address | 1331 N 7th St, Phoenix, Arizona |
Phone Number | 6022543151 |
Fax Number | |
Sole Proprietor | N |
Credentials | NP |
NPI Number Detail
NPI Number | 1124049838 |
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Provider Enumeration Date | 2006-07-21 |
Last Updated Date | 2023-07-17 |
Provider Mailing Address Detail
Address | 1331 N 7th St |
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City | Phoenix |
State | Arizona (AZ) |
Post Code | 850062754 |
Phone Number | 6022543151 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Family |
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Taxonomy | 363Lf0000X |
Licence No | AP1568 |
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
AZ0143190 | AZ | BC BS ID | |
CD4863 | AZ | RAILROAD MEDICARE ID | |
1Z9797 | AZ | HEALTHNET | |
860224285 | AZ | TAX ID | |
188316200 | AZ | DEPT OF LABOR ID | |
751679 | AZ | -- |
Post Comment/ Review Below
What is the Manda L Chatelain's 1124049838?
The Manda L Chatelain's NPI (National Provider Identifier) Number is 1124049838. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Manda L Chatelain?
The Manda L Chatelain is physically situated at 1331 N 7Th St, in the city of Phoenix, state of AZ, with the postal code 850062754.
What is Manda L Chatelain's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Manda L Chatelain's specialized field of practice is Family, and the corresponding taxonomy code that categorizes this area of specialization is 363Lf0000X.
On what date was the 1124049838 assigned to Manda L Chatelain?
The Manda L Chatelain was issued its 1124049838 on 2006-07-21, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Manda L Chatelain, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Manda L Chatelain, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-07-17.