Individual
THOMAS CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
15585 NE 24TH ST, BELLEVUE, WA 98007
(888) 227-3312
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
7693456-4405
UT
363LF0000X
Family Nurse Practitioner
Primary
AP60838859
WA
363LP2300X
Primary Care Nurse Practitioner
7693456-8900
UT
Other
Enumeration date
07/20/2016
Last updated
08/07/2018
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