Individual
MR. NIRA MICHELLE CHAUVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
300 N 1ST ST, PACIFIC, MO 63069-1506
(636) 257-5050
(636) 257-5051
Mailing address
300 N 1ST ST, PACIFIC, MO 63069-1506
(636) 257-5050
(636) 257-5051
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
113809
MO
Other
Enumeration date
02/25/2008
Last updated
02/25/2008
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