Provider Demographics
NPI:1538301015
Name:CHASE, RENEE KAREN (MS-FNP)
Entity type:Individual
Prefix:MS
First Name:RENEE
Middle Name:KAREN
Last Name:CHASE
Suffix:
Gender:F
Credentials:MS-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41309 N BELFAIR WAY
Mailing Address - Street 2:
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-1232
Mailing Address - Country:US
Mailing Address - Phone:623-262-3993
Mailing Address - Fax:
Practice Address - Street 1:2145 E BASELINE RD STE 101
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-1546
Practice Address - Country:US
Practice Address - Phone:480-353-2210
Practice Address - Fax:480-776-0025
Is Sole Proprietor?:No
Enumeration Date:2009-03-31
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APM.0004578-C-NP363LF0000X
AZAP3312363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily