Individual
MRS. RUKIYA J CHAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN107738
AZ
207RG0100X
Gastroenterology Physician
Primary
AP2349
AZ
363L00000X
Nurse Practitioner
AP2349
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235248
—
AZ
Enumeration date
09/07/2006
Last updated
02/28/2020
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