Individual provider · Type 1 NPI

Marjorie M. Chan, NP

Nurse Practitioner · Costa Mesa, CA

NPI number 1174811624 Active

Practice location

3090 Bristol St Ste 200
Costa Mesa, CA 92626-3061

Fax (562) 803-4500

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X20829 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1174811624

Marjorie M. Chan, NP's National Provider Identifier is 1174811624, issued on Jul 19, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Costa Mesa, CA. The record was last updated on Nov 3, 2021.