Healthcare Provider Details

I. General information

NPI: 1700709599
Provider Name (Legal Business Name): STEPHANIE CHAIREZ NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1785 NORTHWEST CT APT E
COLUMBUS OH
43212-1527
US

IV. Provider business mailing address

1785 NORTHWEST CT APT E
COLUMBUS OH
43212-1527
US

V. Phone/Fax

Practice location:
  • Phone: 747-287-7220
  • Fax:
Mailing address:
  • Phone: 747-287-7220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.0042786
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: