Individual
MRS. NICOLE M CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
413 ROOSEVELT AVE, GRANTS, NM 87020
(505) 240-0877
Mailing address
PO BOX 8, GRANTS, NM 87020-0008
(505) 240-0877
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-85963
NM
Other
Enumeration date
02/15/2023
Last updated
02/15/2023
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