Individual
NICOLE CHAVARRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
505 S MAIN ST, STE. 249, LAS CRUCES, NM 88001-1206
(575) 527-5823
(575) 527-5886
Mailing address
505 S MAIN ST, STE. 249, LAS CRUCES, NM 88001-1206
(575) 527-5884
(575) 527-5886
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R43220
NM
163WS0200X
School Registered Nurse
Primary
R43220
NM
Other
Enumeration date
12/17/2013
Last updated
12/15/2023
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