IndividualActive
Amy Chavez, APRN CPNP
NPI 1508509530 · Pediatric Nurse Practitioner · Idaho Falls, ID
Provider details
- NPI number
- 1508509530
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APRN CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- 69247 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3412 S 25th E
Idaho Falls, ID 83404-4967
Phone: (208) 497-0680
Approximate (ZIP-level) locationGet directions
Mailing address
3412 S 25th E
Idaho Falls, ID 83404-4967
Registry dates
- Enumerated
- 2022-04-18
- Last updated
- 2022-05-06
- Certified
- 2022-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.