Provider Demographics
NPI:1649569088
Name:CHASTAIN, CATHERINE MARIE (RN, MSN, FNP)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:MARIE
Last Name:CHASTAIN
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Gender:F
Credentials:RN, MSN, FNP
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Mailing Address - Street 1:5039 BECKWITH BLVD
Mailing Address - Street 2:STE 107
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78249-2293
Mailing Address - Country:US
Mailing Address - Phone:512-547-9171
Mailing Address - Fax:512-233-2808
Practice Address - Street 1:5039 BECKWITH BLVD
Practice Address - Street 2:STE 107
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78249-2293
Practice Address - Country:US
Practice Address - Phone:512-547-9171
Practice Address - Fax:512-233-2808
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
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Provider Licenses
StateLicense IDTaxonomies
TX526654363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily