Healthcare Provider Details

I. General information

NPI: 1023782976
Provider Name (Legal Business Name): MRS. CHASE RYAN BEST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/04/2021
Last Update Date: 08/04/2021
Certification Date: 08/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 COLONY DR
ANNAPOLIS MD
21403
US

IV. Provider business mailing address

1302 COLONY DRIVE
ANNAPOLIS MD
21403
US

V. Phone/Fax

Practice location:
  • Phone: 443-822-4493
  • Fax:
Mailing address:
  • Phone: 443-822-4493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberR235087
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: