Active NPIIndividual provider

Ivonne E Juarez-Chavez

Physician Assistant in Middletown, Connecticut

NPI Number1114447190
Practice location
896 Washington St, Middletown, CT 06457-2912
Fax
—
Last updated
November 4, 2021

Ivonne Elizabeth Juarez-Chavez is a Physician Assistant based in Middletown, CT. Ivonne Elizabeth Juarez-Chavez practices in Middletown, CT. The NPI Number for Ivonne Elizabeth Juarez-Chavez is 1114447190 and holds a License No. 3883 (CT). The current practice location address for Ivonne Elizabeth Juarez-Chavez is 896 Washington St, Middletown, CT 06457-2912 and can be reached out via phone at 860-788-3632.

Provider Profile Details

NPI Number
1114447190
Provider Name
Ivonne Elizabeth Juarez-Chavez
Provider Entity Type
Individual
Gender
Female
Address
896 Washington St, Middletown, CT 06457-2912
Phone Number
860-788-3632
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
June 21, 2017
Last Update Date
November 4, 2021
Certification Date
November 4, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
896 Washington St
Middletown, CT 06457-2912
Zip
06457-2912
Phone Number
860-788-3632
Middletown, CT 06457Get directions →

Provider Business Mailing Address Details

Address
304 Nott St
Wethersfield, CT 06109-1623
City
Wethersfield
State
CT
Zip
06109-1623
Phone Number
860-338-9477

License Information

License Number (1)
3883
License State (1)
CT
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Physician Assistants near Middletown, CT

View all Physician Assistants in Middletown →

Frequently Asked Questions

What is the NPI number of Ivonne E Juarez-Chavez?

The NPI number of Ivonne E Juarez-Chavez is 1114447190. It was assigned on June 21, 2017 and is currently active in the NPPES registry.

What is the specialty of Ivonne E Juarez-Chavez?

Ivonne E Juarez-Chavez is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 3883.

Where does Ivonne E Juarez-Chavez practice?

The practice location is 896 Washington St, Middletown, CT 06457-2912. The office can be reached at 860-788-3632 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114447190 directly on the NPPES registry website.

Browse related providers