Provider Demographics
NPI:1386813251
Name:PRIEST, CHAD S (RN)
Entity type:Individual
Prefix:MR
First Name:CHAD
Middle Name:S
Last Name:PRIEST
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N MERIDIAN ST
Mailing Address - Street 2:SUITE 2700
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-1755
Mailing Address - Country:US
Mailing Address - Phone:317-237-1349
Mailing Address - Fax:317-237-1000
Practice Address - Street 1:300 N MERIDIAN ST
Practice Address - Street 2:SUITE 2700
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-1755
Practice Address - Country:US
Practice Address - Phone:317-237-1349
Practice Address - Fax:317-237-1000
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28145096A163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice