Individual provider · Type 1 NPI

Chan Ly

Nurse Practitioner · Olympia, WA

NPI number 1932736121 Active

Practice location

141 Lilly Rd NE
Olympia, WA 98506-5028

Fax (360) 810-3697

Mailing address

PO Box 749495
Atlanta, GA 30374-9495

Other practice locations

  • 315 Mlk Jr Way, Tacoma, WA 98405 · (253) 403-1000

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse 163WC0400XRN60240413 (WA)
Nurse Practitioner Primary 363L00000XAP61214320 (WA)

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…

8 other providers at this address

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About NPI 1932736121

Chan Ly's National Provider Identifier is 1932736121, issued on Mar 26, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Olympia, WA. The record was last updated on Sep 11, 2024.