Provider Demographics
NPI:1720571995
Name:REDDING, CHANTEE (CNM)
Entity Type:Individual
Prefix:
First Name:CHANTEE
Middle Name:
Last Name:REDDING
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 ARKANSAS ST STE 300
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66044-1394
Mailing Address - Country:US
Mailing Address - Phone:785-832-1424
Mailing Address - Fax:785-505-5260
Practice Address - Street 1:330 ARKANSAS ST STE 300
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66044-1394
Practice Address - Country:US
Practice Address - Phone:785-832-1424
Practice Address - Fax:785-505-5260
Is Sole Proprietor?:No
Enumeration Date:2018-06-12
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM742176B00000X
KS79456176B00000X, 367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife