Basic Information
Provider Information
NPI: 1982877767
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CHESNUTT
FirstName: BARBARA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: ACNP
OtherOrganizationName:  
OtherOrganizationType:  
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OtherCredential:  
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Mailing Information
Address1: 15 W DRY CREEK CIR
Address2:  
City: LITTLETON
State: CO
PostalCode: 801204427
CountryCode: US
TelephoneNumber: 3039521100
FaxNumber: 7202873183
Practice Location
Address1: 15 W DRY CREEK CIR
Address2:  
City: LITTLETON
State: CO
PostalCode: 801204427
CountryCode: US
TelephoneNumber: 3039521100
FaxNumber: 7202873183
Other Information
ProviderEnumerationDate: 04/11/2008
LastUpdateDate: 04/11/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2100XAPN.0005731-NPCOY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
363LC0200X5731CON Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCritical Care Medicine

No ID Information.


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