Individual provider · Type 1 NPI

Kaila Azzura Chan, FNP-C

Nurse Practitioner · Vallejo, CA

NPI number 1972173458 Active

Practice location

100 Hospital Dr Ste 200
Vallejo, CA 94589-2582

Call (707) 427-4900 Map

Fax (707) 551-3646

Mailing address

PO Box 255228
Sacramento, CA 95865-5228

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X95020156 (CA)

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 1972173458

Kaila Azzura Chan, FNP-C's National Provider Identifier is 1972173458, issued on Jun 28, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Vallejo, CA. The record was last updated on Sep 30, 2026.