Individual
CHRISTOPHER BRIAN MERCENE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP, CCNS
Contact information
Practice address
1800 ORLEANS ST, BALTIMORE, MD 21287-0010
(443) 425-8421
Mailing address
914 WHITE HAWK CT, BALTIMORE, MD 21220-1768
(443) 425-8421
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
R227017
MD
363LA2100X
Acute Care Nurse Practitioner
Primary
R227017
MD
364SA2100X
Acute Care Clinical Nurse Specialist
R227017
MD
Other
Enumeration date
02/21/2024
Last updated
07/09/2024
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