| NPI | 1316928112 |
|---|---|
| Former Name | MARILYN J. CHESTNUT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: IN 71000828A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71000828A) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2018-03-17 |