Kavgazoff, Chantal
Kavgazoff, Chantal is an individual health care provider with primary practice located at 888 S Rancho , Las Vegas NV 89106. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Kavgazoff, Chantal can be contacted via phone (702) 877-8690.Contact Information
Primary practice address
888 S Rancho
Las Vegas NV 89106
Phone: (702) 877-8690
Fax: (702) 877-5341
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | APN00457 | Nevada |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APN00457 | Nevada |
Profile Details
| NPI number | 1518938976 |
|---|---|
| LBN Legal business name | Kavgazoff, Chantal |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Feb 14th, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518938976 | NPPES |
| Nevada | MEDICAID | 2402366 | |
| Nevada | MEDICAID | 3102666 |
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