Most Relevant Information
Provider Data
| NPI Number: | 1003183013 |
| Provider Name: | AUDRA LAINE CHASTAIN CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 1-094421 |
Most Important Dates
| Enumeration Date: | 11/18/2011 |
| Last Updated: | 01/12/2013 |
Provider Practice Location
8000 HWY 69
GUNTERSVILLE
AL
35976
Practice Location Phone/Fax
| Phone: | 2565718087 |
| Fax: |
Provider Mailing Location
8000 HWY 69
GUNTERSVILLE
AL
35976
Provider Mailing Phone/Fax
| Phone: | 2565718087 |
| Fax: |