| NPI | 1003205857 |
|---|---|
| Former Name | CHASTITY N HOLLISTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R867282) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R8678282) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 19573) | |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2024-03-07 |