| Doctor Name: | MRS. CRYSTAL ANN CHAVERS |
| NPI Number: | 1154648251 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RDMS,RVT |
| License Number: | 120173 |
| Business Practice Address: | 601 W Leota St North Platte, NE - 691016525 |
| Business Phone Number: | 3086968000 |
| Business Fax Number: | |
| Mailing Address: | 4422 Se Beaver Ln, STUART |
| State: | FL |
| Postal Code: | 349975528 |
| Phone Number: | 5613894314 |
| Fax Number: | |
| NPI Enumeration Date: | 04/28/2010 |
| NPI Last Update Date: | 04/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471V0105X |
| License Number: | 120173 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Vascular Sonography |
| Taxonomy Definition: | |