Individual
PAK CHAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, PMHNP, CRNP-BC
Contact information
Practice address
3400 CIVIC CENTER BLVD FL 15, PHILADELPHIA, PA 19104-5127
(609) 513-7313
Mailing address
3400 CIVIC CENTER BLVD FL 15, PHILADELPHIA, PA 19104-5127
(609) 513-7313
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP026455
PA
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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