Individual provider · Type 1 NPI

Chalice Ann Addis, FNP-BC

Family Nurse Practitioner · Lakeport, CA

NPI number 1306359146 Active

Practice location

925 Bevins Ct
Lakeport, CA 95453-9754

Fax (707) 263-1909

Mailing address

PO Box 1950
Lakeport, CA 95453-1950

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNP95007969 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1306359146

Chalice Ann Addis, FNP-BC's National Provider Identifier is 1306359146, issued on Nov 15, 2017. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lakeport, CA. The record was last updated on Aug 1, 2025.