Individual provider · Type 1 NPI
Vivian Chan, MS, NP
Gerontology Nurse Practitioner · Menlo Park, CA
NPI number
1205899168
Active
Practice location
795 Willow Rd
Menlo Park, CA 94025-2539
Mailing address
1265 Clark Way
Palo Alto, CA 94304-2335
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | 14381 (CA) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1205899168
Vivian Chan, MS, NP's National Provider Identifier is 1205899168, issued on Apr 10, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Menlo Park, CA. The record was last updated on Jul 13, 2026.