Provider Demographics
NPI:1538851548
Name:PERRON, CHAVERNAY (APRN- FNP)
Entity type:Individual
Prefix:
First Name:CHAVERNAY
Middle Name:
Last Name:PERRON
Suffix:
Gender:F
Credentials:APRN- FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:157 TERRY CT
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78212-3745
Mailing Address - Country:US
Mailing Address - Phone:210-488-4066
Mailing Address - Fax:
Practice Address - Street 1:4410 MEDICAL DR STE 610
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3798
Practice Address - Country:US
Practice Address - Phone:210-614-2453
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-26
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1094915363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily