Individual
GINA CHAVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
7 SOUTHWOODS BLVD STE 17, ALBANY, NY 12211-2564
(518) 292-6075
Mailing address
59 DEVONSHIRE WAY, HALFMOON, NY 12065-3230
(413) 329-3077
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
622633-01
NY
363LA2200X
Adult Health Nurse Practitioner
Primary
F311692-01
NY
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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