Individual
SASHA SHERYLLE CHAVEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
100 HOSPITAL DRIVE, SUITES 107 AND 201, KETCHUM, ID 83340
(208) 727-8888
(208) 727-8889
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-8748
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
56024
ID
Other
Enumeration date
11/16/2021
Last updated
04/08/2022
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