Provider Demographics
NPI:1437405941
Name:CHATTEN, CARMEN (FNP-BC)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:
Last Name:CHATTEN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 9TH ST STE 120-313
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-4149
Mailing Address - Country:US
Mailing Address - Phone:984-377-7300
Mailing Address - Fax:336-864-2863
Practice Address - Street 1:110 N CORCORAN ST
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-5015
Practice Address - Country:US
Practice Address - Phone:984-377-7300
Practice Address - Fax:336-864-2863
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005484363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1437405941Medicaid