Individual provider · Type 1 NPI
Susana So Ching Chan, RN
Gerontology Registered Nurse · Oakland, CA
NPI number
1396496808
Active
Practice location
7200 Bancroft Ave
Oakland, CA 94605-2403
Mailing address
33762 Rye Ter
Fremont, CA 94555-1471
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Management Registered Nurse | 163WC0400X | 462255 (CA) |
| Gerontology Registered Nurse Primary | 163WG0600X | 462255 (CA) |
Gerontology Registered Nurse: Definition to come...
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About NPI 1396496808
Susana So Ching Chan, RN's National Provider Identifier is 1396496808, issued on Jan 17, 2022. The primary taxonomy on file is Gerontology Registered Nurse (163WG0600X), and the practice location is in Oakland, CA. The record was last updated on Jan 17, 2022.