Individual
ANNIE CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, FNP
Contact information
Practice address
30 BROAD ST FL 45, NEW YORK, NY 10004-2942
(212) 530-0630
Mailing address
129 W 29TH ST FL 10, NEW YORK, NY 10001-5105
(415) 658-6791
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
687127
NY
363LF0000X
Family Nurse Practitioner
Primary
340246
NY
363LF0000X
Family Nurse Practitioner
RN2338100
MA
Other
Enumeration date
09/22/2014
Last updated
02/05/2024
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