NPI | 1043796949 |
---|---|
Former Name | ERIN LEE CHASTAIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO RXN.0103399-NP) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0993997-NP) |
Enumeration Date | 2018-07-13 |
Last Update Date | 2022-01-05 |