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NPI Code Detail

MEDICARE: TIFFANY CHAVEZ FNP-C

MEDICARE: TIFFANY CHAVEZ FNP-C
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
1363LF0000XFamily Nurse Practitioner1042596TX

General Provider Information

NPI Number : 1225617061
Entity Type Code : Individual
Provider Name (Legal Business Name) : TIFFANY CHAVEZ FNP-C
Provider Business Mailing Address
First Line : 7008 INDIANA AVE STE A
Second Line :
City : LUBBOCK
State : TX
Zip : 79413-6138
Country : US
Telephone Number : 806-698-8088
Fax Number :
Provider Business Practice Location Address
First Line : 7008 INDIANA AVE STE A
Second Line :
City : LUBBOCK
State : TX
Zip : 79413-6138
Country : US
Telephone Number : 806-698-8088
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2021
Last Update Date : 11/05/2024

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Directions to “ TIFFANY CHAVEZ FNP-C” Practice Location

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