Provider Demographics
NPI:1134238744
Name:CHASE, ERIN N (ARNP)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:N
Last Name:CHASE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1267
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-0260
Mailing Address - Country:US
Mailing Address - Phone:360-748-0211
Mailing Address - Fax:360-740-4170
Practice Address - Street 1:1299 BISHOP RD
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-8758
Practice Address - Country:US
Practice Address - Phone:360-748-0211
Practice Address - Fax:360-740-4170
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007459363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
WARN00156997OtherREGISTERED NURSE
WA0212434OtherLABOR & INDUSTRIES
9090NOOtherREGENCE
P00348223OtherRAILROAD MEDICARE
WA9650615Medicaid
9090NOOtherREGENCE
WA9650615Medicaid
WARN00156997OtherREGISTERED NURSE