Individual
GUADALUPE CHAVEZ
Active
Individual
GUADALUPE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R64067
NM
367500000X
Certified Registered Nurse Anesthetist
103799
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
209.026641
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100421606
—
WI
Enumeration date
10/03/2022
Last updated
08/06/2026
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