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Bertha Chavis
Licensed Practical Nurse in Winter Haven, Florida
NPI 1679836639

Bertha Chavis is a Licensed Practical Nurse based in Winter Haven, FL. Bertha Chavis practices in Winter Haven, FL. The NPI Number for Bertha Chavis is 1679836639 and holds a License No. PN1322231 (Florida).

The current practice location address for Bertha Chavis is 150 Avenue U Nw # C, Winter Haven, FL and can be reached out via phone at 407-927-1980.

Location: 150 Avenue U Nw # C, Winter Haven, FL, 33881-2156
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679836639
Provider Name
Bertha Chavis
Credential
Provider Entity Type
Individual
Gender
Female
Address
150 Avenue U Nw # C, Winter Haven, FL, 33881-2156
Phone Number
407-927-1980
Fax Number
Provider Enumeration Date
06/24/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
686492979 05 FL
institution
Provider Business Practice Location Address Details
Address
150 Avenue U Nw # C
City
Winter Haven
State
Florida
Zip
33881-2156
Phone Number
407-927-1980
Fax Number
person
Provider Business Mailing Address Details
Address
150 Avenue U Nw # C
City
Winter Haven
State
Florida
Zip
33881-2156
Phone Number
407-927-1980
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
PN1322231 (Florida)
Definition
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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