MANDA LOUISE CHATELAIN NP NPI 1124049838

NPI Information

  • NPI: 1124049838
  • Provider Name: MANDA LOUISE CHATELAIN, NP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1331 N 7TH ST STE 405
    PHOENIX, AZ
    ZIP 85006
  • Phone: (602) 254-3151

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NPI Details

Manda Louise Chatelain, NP is an acute care nurse practitioner in Phoenix, AZ with 24 years of experience. Manda Louise Chatelain, NP NPI is 1124049838. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1331 N 7TH ST STE 405
PHOENIX, AZ
ZIP 85006-754
Phone: (602) 254-3151

The NPI 1124049838 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Spinal fusion (HCPCS:NAN02)

The enumeration date for this NPI number is 7/21/2006 and was last updated on 2/13/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207T00000XNeurological SurgeryAP1568ARIZONANo
2363LF0000XNurse PractitionerFamilyAP1568ARIZONANo
3363LA2100XNurse PractitionerAcute CareAP1568ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1860224285OTHERARIZONATAX ID
2188316200OTHERARIZONADEPT OF LABOR ID
31Z9797OTHERARIZONAHEALTHNET
4CD4863OTHERARIZONARAILROAD MEDICARE ID
5751679MEDICAIDARIZONA
6AZ0143190OTHERARIZONABC BS ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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