Individual provider · Type 1 NPI

Ethan Chanan

Nurse Practitioner · Washington, DC

NPI number 1497596274 Active

Practice location

3230 Pennsylvania Ave SE Ste 205
Washington, DC 20020-3731

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNP500125704 (DC)

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 1497596274

Ethan Chanan's National Provider Identifier is 1497596274, issued on Jun 4, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Washington, DC. The record was last updated on Aug 7, 2025.