Individual
MS. TANIA J CHAVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2100 YUCCA ST, SANTA FE, NM 87505-5456
(505) 820-3466
Mailing address
2100 YUCCA ST, SANTA FE, NM 87505-5456
(505) 467-2439
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-82273
NM
363LP0200X
Pediatric Nurse Practitioner
Primary
61189
NM
Other
Enumeration date
11/13/2019
Last updated
08/19/2022
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