MEDICARE: DR. JENNIFER BLANCO CHAVIRA AU.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter	DA6984	AZ

General Provider Information

NPI Number	:	1225390024
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER BLANCO CHAVIRA AU.D.

Provider Business Mailing Address
First Line	:	3838 N CAMPBELL AVE BLDG 2
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-1454
Country	:	US
Telephone Number	:	520-694-8888
Fax Number	:

Provider Business Practice Location Address
First Line	:	3838 N CAMPBELL AVE BLDG 2
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-1454
Country	:	US
Telephone Number	:	520-694-6332
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2012
Last Update Date	:	03/13/2026

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