Provider Demographics
NPI:1467574459
Name:CHAVEZ, ADAM LOUIS (NP)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:LOUIS
Last Name:CHAVEZ
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:240 SHENANDOAH ST
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22664-1051
Mailing Address - Country:US
Mailing Address - Phone:540-459-1354
Mailing Address - Fax:540-459-1355
Practice Address - Street 1:351 VALLEY HEALTH WAY # 200
Practice Address - Street 2:
Practice Address - City:FRONT ROYAL
Practice Address - State:VA
Practice Address - Zip Code:22630-6480
Practice Address - Country:US
Practice Address - Phone:540-636-0600
Practice Address - Fax:540-636-0629
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-03
Last Update Date:2024-04-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA0001194626163WG0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice