Individual provider · Type 1 NPI

Bertha Chavis

Licensed Practical Nurse · Winter Haven, FL

NPI number 1679836639 Active

Practice location

150 Avenue U NW # C
Winter Haven, FL 33881-2156

Call (407) 927-1980 Map

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN1322231 (FL)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1679836639

Bertha Chavis's National Provider Identifier is 1679836639, issued on Jun 24, 2012. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Winter Haven, FL. The record was last updated on Jun 24, 2012.