Individual provider · Type 1 NPI

Tracey E. Chan, NP

Nurse Practitioner · Detroit, MI

NPI number 1710091376 Active

Practice location

5555 Conner St, Ste 2691
Detroit, MI 48213-3448

Fax (313) 579-5128

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704220570 (MI)

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 1710091376

Tracey E. Chan, NP's National Provider Identifier is 1710091376, issued on Aug 19, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Detroit, MI. The record was last updated on May 10, 2011.