Individual provider · Type 1 NPI
Michelle Jimenez Chan
Acute Care Nurse Practitioner · Far Rockaway, NY
NPI number
1508339284
Active
Practice location
327 Beach 19th St
Far Rockaway, NY 11691-4423
Mailing address
2 Gold St Apt 1514
New York, NY 10038-4847
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 431408 (NY) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1508339284
Michelle Jimenez Chan's National Provider Identifier is 1508339284, issued on Jan 6, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Far Rockaway, NY. The record was last updated on Jan 6, 2019.