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NPI Code Detail

MEDICARE: AISHA MICHELLE CHAVEZ CPNP-PC

MEDICARE: AISHA MICHELLE CHAVEZ CPNP-PC
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
1163W00000XRegistered Nurse242321AZ
2363LP0200XPediatric Nurse PractitionerRNP242321AZ

General Provider Information

NPI Number : 1710655659
Entity Type Code : Individual
Provider Name (Legal Business Name) : AISHA MICHELLE CHAVEZ CPNP-PC
Provider Business Mailing Address
First Line : 1949 N SWAN RD UNIT 8
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2759
Country : US
Telephone Number : 520-488-1424
Fax Number :
Provider Business Practice Location Address
First Line : 839 W CONGRESS ST
Second Line :
City : TUCSON
State : AZ
Zip : 85745-2819
Country : US
Telephone Number : 520-670-3909
Fax Number : 520-309-2560
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2021
Last Update Date : 12/02/2025

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Directions to “ AISHA MICHELLE CHAVEZ CPNP-PC” Practice Location

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