Individual
JUSTIN RYAN CHAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1 ELLIOT WAY STE 200, MANCHESTER, NH 03103-3502
(603) 663-2315
Mailing address
1149 E MAIN ST APT 302, CHATTANOOGA, TN 37408-1631
(803) 743-6024
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
205913
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
083681-23
NH
367500000X
Certified Registered Nurse Anesthetist
132452
NH
Other
Enumeration date
07/23/2020
Last updated
01/19/2026
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