Provider Demographics
NPI:1265140818
Name:CHAVAN, MEENAKSHI J (FNP)
Entity type:Individual
Prefix:MRS
First Name:MEENAKSHI
Middle Name:J
Last Name:CHAVAN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MEENAKSHI
Other - Middle Name:
Other - Last Name:CHAVAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 749112
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-9112
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9 PINNACLE DR STE A03
Practice Address - Street 2:
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939-2367
Practice Address - Country:US
Practice Address - Phone:434-243-7700
Practice Address - Fax:434-243-7708
Is Sole Proprietor?:No
Enumeration Date:2022-11-14
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024185308207RN0300X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology