Provider Demographics
NPI:1710512710
Name:CHAUVETTE, ALEXIS (MSN, CPNP-PC,RN, CPN)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:
Last Name:CHAUVETTE
Suffix:
Gender:F
Credentials:MSN, CPNP-PC,RN, CPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1622 LEVERING PL
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-4157
Mailing Address - Country:US
Mailing Address - Phone:908-343-5849
Mailing Address - Fax:
Practice Address - Street 1:73 OAK RIDGE RD
Practice Address - Street 2:
Practice Address - City:NEWFOUNDLAND
Practice Address - State:NJ
Practice Address - Zip Code:07435-1403
Practice Address - Country:US
Practice Address - Phone:908-343-5849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-10
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01212900363LP0200X
PA26NR17493700163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics