Individual
EVELYN L CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 CEDAR NE, SUITE 306, ALBUQUERQUE, NM 87106
(505) 563-1000
(505) 563-1010
Mailing address
PO BOX 26666, PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-5356
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R27960
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
NM
Enumeration date
05/16/2007
Last updated
07/08/2007
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