Individual provider · Type 1 NPI
Mary Catherine Chavez
Acute Care Nurse Practitioner · Los Angeles, CA
NPI number
1104744119
Active
Practice location
2051 Marengo St
Los Angeles, CA 90033-1352
Mailing address
221 N Dillon St
Los Angeles, CA 90026-4619
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | NP95035496 (CA) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1104744119
Mary Catherine Chavez's National Provider Identifier is 1104744119, issued on Jul 7, 2026. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 7, 2026.