Basic Information
| Provider Information | |||||||||
| NPI: | 1972642395 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHASE | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | B | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | APRN, BC, ANP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2 YALE WAY | ||||||||
| Address2: | |||||||||
| City: | NEWBURY | ||||||||
| State: | MA | ||||||||
| PostalCode: | 019512029 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9784636899 | ||||||||
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| Practice Location | |||||||||
| Address1: | 100 EVERETT AVE. SUITE 16C | ||||||||
| Address2: | MGH CHELSEA HEALTH CENTER | ||||||||
| City: | CHELSEA | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02150 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6178874600 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 02/05/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LP2300X | 98514 | MA | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Primary Care |
No ID Information.