Individual
CHANTAL KAVGAZOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
888 S RANCHO, LAS VEGAS, NV 89106
(702) 877-8690
(702) 877-5341
Mailing address
PO BOX 15645, LAS VEGAS, NV 89114-5645
(702) 877-8690
(702) 877-5341
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN00457
NV
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
APN00457
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2402366
—
NV
05
—
3102666
—
NV
Enumeration date
02/01/2006
Last updated
02/14/2014
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