Individual provider · Type 1 NPI
Mimi Chan, NP
Nurse Practitioner · Elmira, NY
Practice location
600 Roe Ave # 1A
Elmira, NY 14905-1629
Mailing address
571 Saint Josephs Blvd Fl 2
Elmira, NY 14901-3230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 347650 (NY) |
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 1700469442
Mimi Chan, NP's National Provider Identifier is 1700469442, issued on Apr 30, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Elmira, NY. The record was last updated on Apr 30, 2021.