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Latricia Dail Chastain, NP-C
Family Nurse Practitioner in Wilmington, North Carolina
NPI 1821366436

Latricia Dail Chastain is a Family Nurse Practitioner based in Wilmington, NC and is specialized in Family. Latricia Dail Chastain practices in Wilmington, NC and has the professional credentials of NP-C. The NPI Number for Latricia Dail Chastain is 1821366436 and holds a License No. 5005452 (North Carolina).

The current practice location address for Latricia Dail Chastain is 2334 41St St, Wilmington, NC and can be reached out via phone at 910-815-3122.

Location: 2334 41St St, Wilmington, NC, 28403-5502
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821366436
Provider Name
Latricia Dail Chastain
Credential
NP-C
Provider Entity Type
Individual
Gender
Female
Address
2334 41St St, Wilmington, NC, 28403-5502
Phone Number
910-815-3122
Fax Number
Provider Enumeration Date
12/09/2011
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
1821366436 05 NC
NP2519 05 SC
institution
Provider Business Practice Location Address Details
Address
2334 41St St
City
Wilmington
State
North Carolina
Zip
28403-5502
Phone Number
910-815-3122
Fax Number
person
Provider Business Mailing Address Details
Address
2334 41St St
City
Wilmington
State
North Carolina
Zip
28403-5502
Phone Number
910-815-3122
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5005452 (North Carolina)
Definition
Definition to come...
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