Individual
MS. VIVIAN CHAN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, NP
Contact information
Practice address
795 WILLOW RD, MENLO PARK, CA 94025-2539
(650) 493-5000
Mailing address
1265 CLARK WAY, PALO ALTO, CA 94304-2335
(415) 297-8580
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
14381
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14381
NP FURNISHING NUMBER
CA
01
—
553431
RN LICENSE
CA
Enumeration date
04/10/2006
Last updated
07/08/2007
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