Individual provider · Type 1 NPI

Audrey Willa Chang, P.N.P.

Pediatric Nurse Practitioner · Newport Beach, CA

NPI number 1275960494 Active

Practice location

2071 San Joaquin Hills Rd
Newport Beach, CA 92660-6505

Call (949) 759-1720 Map

Fax (949) 759-1442

Mailing address

24422 Avenida De La Carlota Ste 300
Laguna Hills, CA 92653-3628

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X23514 (CA)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1275960494

Audrey Willa Chang, P.N.P.'s National Provider Identifier is 1275960494, issued on Oct 2, 2013. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Newport Beach, CA. The record was last updated on Mar 2, 2022.