Provider / Organization | NPI | Date Certified |
---|---|---|
ANGIE CHAN | 1538760988 | 2020-11-03 |
Angie Chan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1538760988. Registration indicates Angie Chan is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
Entity Type | Individual |
Provider Name | Angie Chan FNP |
Practice Office Address | 161 MADISON AVENUE SUITE 9NW NEW YORK, NY US |
Practice Office Telephone | 3475452520 |
Mailing Address | 8726 23RD AVE BROOKLYN, NY 112145202 US |
Code | Practice | License No State |
---|---|---|
363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 345511
NY |