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

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600X14381 (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.