Individual provider · Type 1 NPI

Suzanne M. Chan, CPNP-PC

Pediatric Nurse Practitioner · New York, NY

NPI number 1760910012 Active

Practice location

3959 Broadway
New York, NY 10032-1559

Specialties and licenses

Taxonomy	Code	License
Inpatient Obstetric Registered Nurse	163WX0003X	648631 (NY)
Pediatric Nurse Practitioner Primary	363LP0200X	F382864-1 (NY)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1760910012

Suzanne M. Chan, CPNP-PC's National Provider Identifier is 1760910012, issued on May 31, 2017. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in New York, NY. The record was last updated on Jul 19, 2018.