Individual
VIVIAN CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
363L00000X
Nurse Practitioner
Primary
53-80779-052
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/15/2021
Last updated
12/29/2021
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