Individual provider · Type 1 NPI

Sue Ann Chaffee, PMHNP/DNP STUDENT

Student in an Organized Health Care Education/Training Program · Modesto, CA

NPI number 1073043907 Active

Practice location

500 N 9th St Ste B
Modesto, CA 95350-5814

Mailing address

1329 N Carpenter Rd
Modesto, CA 95351

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1073043907

Sue Ann Chaffee, PMHNP/DNP STUDENT's National Provider Identifier is 1073043907, issued on Jun 13, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Modesto, CA. The record was last updated on Jun 30, 2017.