Chavez, Tricia Marie

Chavez, Tricia Marie is an individual health care provider with primary practice located at 11075 S State St Ste 33 , Sandy UT 84070-5183. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Chavez, Tricia Marie can be contacted via phone (801) 572-5833.

Contact Information

Primary practice address
11075 S State St Ste 33 Sandy UT 84070-5183
Phone: (801) 572-5833
Fax: (801) 572-5844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 537760 California

Profile Details

NPI number 1801995568
LBN Legal business name Chavez, Tricia Marie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2006
Last updated Dec 19th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801995568 NPPES
Utah Other 6436059-4405 ADVANCED PRACTICE REGISTE
Utah Other F0406066 ADVANCED PRACTICE REGISTE
Utah Other 537760 ADVANCED PRACTICE REGISTE

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