| NPI | 1245612654 |
|---|---|
| Other Name | CRYSTAL CHASTAIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN198451) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: GA RN198451) |
| 363LF0000X Nurse Practitioner, Family (Licence: GA RN198451) | |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2021-02-24 |