Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LN0000X | Nurse Practitioner - Neonatal | IN PROCESS | VA |
Y | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | IN PROCESS | VA |
NPI | 1104105337 |
---|---|
Provider Name | Mrs. Christin Cooper Chaney |
First Address | Sunrise, FL 33323-2843 |
Second Address | Roanoke, VA 24014-1838 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2011 |
Last Update Date | 25/10/2020 |