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Contact Information

PHYLLIS J CHESTER, DNP
1600 NORTH MAIN
LOVINGTON, NM88260-2830
 Phone: 575-396-6611
 Fax: 575-396-1454
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for PHYLLIS J CHESTER · (Female)

NPI # 1518925007
Status Active
Credentials DNP
Entity Individual
Enumeration date 05/03/2006
Last updated 08/17/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • NM License # CNP-02905
  • NM License # RN-83664
  • VA License # 0024113734
  • NM Medicaid 61808563
  • VA Medicaid 007780184
  • NM Other 486152YNGG PTAN
  • VA Other 1518925007 PALMETTO
  • VA Other 500007207 PALMETTO RAILROAD
Hospital affiliation(s)
  • NOR-LEA HOSPITAL DISTRICT - (Critical Access)
    1600 NORTH MAIN
    LOVINGTON, NM 88260
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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