Provider Demographics
NPI:1437427879
Name:CHASE, NANCY J (RN CD(DONA))
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:J
Last Name:CHASE
Suffix:
Gender:F
Credentials:RN CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:308 LYBOLT RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-3313
Mailing Address - Country:US
Mailing Address - Phone:845-361-2353
Mailing Address - Fax:
Practice Address - Street 1:308 LYBOLT RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-3313
Practice Address - Country:US
Practice Address - Phone:845-361-2353
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-13
Last Update Date:2011-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8410374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula