Individual
RYAN MICHAEL CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN-85970
NM
363L00000X
Nurse Practitioner
Primary
9662
MN
363LF0000X
Family Nurse Practitioner
182401
AK
Other
Enumeration date
03/02/2021
Last updated
11/07/2022
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