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VIRGINIA CHACON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
13155 S LAUPPE RD, YODER, CO 80864-9724
(719) 478-2095
Mailing address
2101 CHATALET LN APT I, PUEBLO, CO 81005-2657
(719) 252-1239

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.0991632-NP
CO
364SP0813X
Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
APN 0991632NP
CO

Other

Enumeration date
03/13/2015
Last updated
05/21/2019
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