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Individual
TINA MELINDA CHAVEZ
Active
Individual
TINA MELINDA CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
255283
AZ
363LF0000X
Family Nurse Practitioner
Primary
255283
AZ
Other
Enumeration date
03/09/2021
Last updated
03/16/2021
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