Provider Demographics
NPI:1689559437
Name:YANCE CHAVEZ, NANCY JOANNA
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:JOANNA
Last Name:YANCE CHAVEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 MURCHISON DR
Mailing Address - Street 2:
Mailing Address - City:MILLBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94030-3024
Mailing Address - Country:US
Mailing Address - Phone:650-558-2565
Mailing Address - Fax:
Practice Address - Street 1:400 MURCHISON DR
Practice Address - Street 2:
Practice Address - City:MILLBRAE
Practice Address - State:CA
Practice Address - Zip Code:94030-3024
Practice Address - Country:US
Practice Address - Phone:650-558-2565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA155680106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist