Individual
SHANIECE YVETTE CHAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12121 WILSHIRE BLVD STE 810, LOS ANGELES, CA 90025-1166
(888) 684-2779
Mailing address
12121 WILSHIRE BLVD STE 810, LOS ANGELES, CA 90025-1166
(888) 684-2779
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
29859
SC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
29859
SC
Other
Enumeration date
01/15/2025
Last updated
02/24/2026
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