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Contact Information

STACEY CHAVEZ, FNP
105 REDWING
CLOVIS, NM88101-9597
 Phone: 575-309-7237
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for STACEY CHAVEZ · (Female)

NPI # 1871146464
Status Active
Credentials FNP (Family Nurse Practitioner)
Entity Individual
Enumeration date 07/22/2019
Last updated 07/22/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NM License # 57003
Hospital affiliation(s)
  • DR DAN C TRIGG MEMORIAL HOSPITAL - (Critical Access)
    301 EAST MIEL DE LUNA AVENUE
    TUCUMCARI, NM 88401
  • PLAINS REGIONAL MEDICAL CENTER CLOVIS - (Acute Care)
    2100 N MARTIN LUTHER KING, JR, BLVD
    CLOVIS, NM 88101
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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