Provider Demographics
NPI:1891920401
Name:CHASE, BOBETTE S (RN, CDE)
Entity Type:Individual
Prefix:
First Name:BOBETTE
Middle Name:S
Last Name:CHASE
Suffix:
Gender:F
Credentials:RN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:66 DIAMOND HILL RD
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-6706
Mailing Address - Country:US
Mailing Address - Phone:401-569-0590
Mailing Address - Fax:
Practice Address - Street 1:66 DIAMOND HILL RD
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-6706
Practice Address - Country:US
Practice Address - Phone:401-569-0590
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN27078163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator