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NPI Code Detail

MEDICARE: CELESTE CHAVEZ

MEDICARE: CELESTE CHAVEZ
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
1367A00000XAdvanced Practice Midwife209014717IL

General Provider Information

NPI Number : 1508309725
Entity Type Code : Individual
Provider Name (Legal Business Name) : CELESTE CHAVEZ
Provider Business Mailing Address
First Line : 2220 FLEET ST
Second Line :
City : BALTIMORE
State : MD
Zip : 21231-3121
Country : US
Telephone Number : 443-835-0629
Fax Number :
Provider Business Practice Location Address
First Line : 9300 DEWITT LOOP
Second Line :
City : FORT BELVOIR
State : VA
Zip : 22060-5285
Country : US
Telephone Number : 571-231-2994
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2016
Last Update Date : 05/28/2026

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Directions to “ CELESTE CHAVEZ ” Practice Location

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