Provider Demographics
NPI:1467133256
Name:CHASE, ADRIENNE
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:
Last Name:CHASE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:352 PROVIDENCE DR
Mailing Address - Street 2:
Mailing Address - City:MCSHERRYSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17344-1119
Mailing Address - Country:US
Mailing Address - Phone:717-965-9652
Mailing Address - Fax:
Practice Address - Street 1:6701 N CHARLES ST STE 2310
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-6808
Practice Address - Country:US
Practice Address - Phone:443-849-2535
Practice Address - Fax:443-849-2708
Is Sole Proprietor?:No
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS