| Doctor Name: | MR. NIRA MICHELLE CHAUVIN |
| NPI Number: | 1689843674 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ANP |
| License Number: | 113809 |
| Business Practice Address: | 300 N 1st St Pacific, MO - 630691506 |
| Business Phone Number: | 6362575050 |
| Business Fax Number: | 6362575051 |
| Mailing Address: | 300 N 1st St, PACIFIC |
| State: | MO |
| Postal Code: | 630691506 |
| Phone Number: | 6362575050 |
| Fax Number: | 6362575051 |
| NPI Enumeration Date: | 02/25/2008 |
| NPI Last Update Date: | 02/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | 113809 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |