Heather Coffeen Chastain
Nurse Practitioner - Pediatrics
306 Corder Rd Suite 1
Warner Robins
, Georgia 31088-3606
Heather Coffeen Chastain
Nurse Practitioner - Pediatrics
306 Corder Rd Suite 1
Warner Robins
, Georgia 31088-3606
(478) 953-5340
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About
Features
Specialties
- Nurse Practitioner - Pediatrics
Languages spoken
- English
Location
First Address
- Heather Coffeen Chastain
- 120-B Osigian Blvd Suite 100
- Warner Robins, GA
- Zip : 31088-8939
- Fax : (478) 953-5340
- Phone : (478) 953-5358
Second Address
- Heather Coffeen Chastain
- 306 Corder Rd Suite 1
- Warner Robins, GA
- Zip : 31088-3606
- Fax : (478) 922-3076
- Phone : (478) 922-3074
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Is Heather Coffeen Chastain a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0200X | Nurse Practitioner - Pediatrics | 150125 | GA |
National Provider Identifier
| NPI | 1013052497 |
|---|---|
| Provider Name | Heather Coffeen Chastain |
| First Address | Warner Robins, GA 31088-8939 |
| Second Address | Warner Robins, GA 31088-3606 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/02/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.