person
Mrs. Nina C Chase-bouamoud, PA-C
Medical Physician Assistant in Inverness, Florida
NPI 1902012966

Nina C Chase-bouamoud is a Medical Physician Assistant based in Fort Mohave, FL and is specialized in Medical. Nina C Chase-bouamoud practices in Inverness, FL and has the professional credentials of PA-C. The NPI Number for Nina C Chase-bouamoud is 1902012966 and holds a License No. 5781 (Florida).

The current practice location address for Nina C Chase-bouamoud is 305 S Line Ave, Inverness, FL and can be reached out via phone at 352-344-4791 and via fax at 352-344-3822.

Location: 305 S Line Ave, Inverness, FL, 86426-6068
person
Provider Profile Details
NPI Number
1902012966
Provider Name
Nina C Chase-bouamoud
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
305 S Line Ave, Inverness, FL, 86426-6068
Phone Number
352-344-4791
Fax Number
352-344-3822
Provider Enumeration Date
05/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PA9114448 01 FL MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
305 S Line Ave
City
State
Zip
34452-4605
Phone Number
352-344-4791
Fax Number
352-344-3822
person
Provider Business Mailing Address Details
Address
305 S Line Ave
City
State
Zip
34452-4605
Phone Number
352-344-4791
Fax Number
352-344-3822
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
5781 (Arizona)
Definition
Definition to come...
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