Provider Demographics
NPI:1699668830
Name:CHAVEZ, SILVIA LARA
Entity type:Individual
Prefix:
First Name:SILVIA
Middle Name:LARA
Last Name:CHAVEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 PARK ST
Mailing Address - Street 2:
Mailing Address - City:BLAIR
Mailing Address - State:NE
Mailing Address - Zip Code:68008-1712
Mailing Address - Country:US
Mailing Address - Phone:909-756-0538
Mailing Address - Fax:
Practice Address - Street 1:1130 PARK ST
Practice Address - Street 2:
Practice Address - City:BLAIR
Practice Address - State:NE
Practice Address - Zip Code:68008-1712
Practice Address - Country:US
Practice Address - Phone:909-756-0538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide