Provider Demographics
NPI:1689275778
Name:CHAVEZ, ANEL ODETTE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ANEL
Middle Name:ODETTE
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 SAGE LN
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-7820
Mailing Address - Country:US
Mailing Address - Phone:956-369-2209
Mailing Address - Fax:
Practice Address - Street 1:1006 SAGE LN
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7820
Practice Address - Country:US
Practice Address - Phone:956-369-2209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP144796363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health