Individual
MS. MALDALENA PATRICE CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
161 CECIL B MOORE AVE APT 204, PHILADELPHIA, PA 19122-3243
(866) 306-2026
Mailing address
3637 OLD YORK RD, PHILADELPHIA, PA 19140-4229
(215) 787-7441
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024193620
VA
363LF0000X
Family Nurse Practitioner
14266
CT
363LF0000X
Family Nurse Practitioner
26NJ15356500
NJ
363LF0000X
Family Nurse Practitioner
APN.29822.APRN
SC
363LF0000X
Family Nurse Practitioner
APRN11039599
FL
363LF0000X
Family Nurse Practitioner
Primary
SP012415
PA
Other
Enumeration date
09/22/2012
Last updated
01/15/2026
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