Yan Chen, NURSE PRACTITIONER

Individual provider Active NPI Nurse Practitioner · Washington, DC

NPI 1477573558 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1477573558
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
RN964169 (DC)
Practice address
3720 Upton St, NW
Washington, DC 20016-2299
Phone
(202) 966-3720
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN964169DCMDNurse Practitioner

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN964169 DC Yes

Addresses

Primary practice location

3720 Upton St, NW
Washington, DC 20016-2299

Mailing address

6432 Bannockburn Dr
Bethesda, MD 20817-5472
Phone (301) 229-3480

Other providers in Washington, DC

All providers in Washington, DC · Nurse Practitioner in District of Columbia

Sources for this page

Verify at the official NPI Registry.