Provider Demographics
NPI:1326249996
Name:CHAVANU, SHIRLEY ANN (APRN)
Entity Type:Individual
Prefix:MRS
First Name:SHIRLEY
Middle Name:ANN
Last Name:CHAVANU
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:32270 GRAND ISLAND RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:NE
Mailing Address - Zip Code:68866-3017
Mailing Address - Country:US
Mailing Address - Phone:308-388-3581
Mailing Address - Fax:308-865-2907
Practice Address - Street 1:10 E 31ST ST
Practice Address - Street 2:CANCER CENTER
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-2926
Practice Address - Country:US
Practice Address - Phone:308-865-7199
Practice Address - Fax:308-865-2907
Is Sole Proprietor?:No
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE110304363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health