Individual
TRICIA MARIE CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11075 S STATE ST STE 33, SANDY, UT 84070-5183
(801) 572-5833
(801) 572-5844
Mailing address
11075 S STATE ST STE 33, SANDY, UT 84070-5183
(801) 572-5833
(801) 572-5844
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
537760
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
537760
REGISTERED NURSE
CA
01
—
6436059-4405
ADVANCED PRACTICE REGISTE
UT
01
—
F0406066
FAMILY NURSE PRACTITIONER
CA
Enumeration date
09/21/2006
Last updated
12/19/2016
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