Provider Demographics
NPI:1730992710
Name:CHAVEZ, ANA (CMI)
Entity type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:CMI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2423 N DENVER ST
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-2685
Mailing Address - Country:US
Mailing Address - Phone:509-590-3944
Mailing Address - Fax:
Practice Address - Street 1:2423 N DENVER ST
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-2685
Practice Address - Country:US
Practice Address - Phone:509-590-3944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-31
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA603279805171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter