Provider Demographics
NPI:1760769368
Name:CHASE, HESTIA LUDMILA (RN)
Entity Type:Individual
Prefix:MS
First Name:HESTIA
Middle Name:LUDMILA
Last Name:CHASE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2766 BURGESS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-9026
Mailing Address - Country:US
Mailing Address - Phone:970-846-8713
Mailing Address - Fax:
Practice Address - Street 1:2766 BURGESS CREEK RD
Practice Address - Street 2:
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-9026
Practice Address - Country:US
Practice Address - Phone:970-846-8713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO201066163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse