Individual
NICOLE CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4301 WILSON ST, FORT SILL, OK 73503-4472
(808) 283-1869
Mailing address
4301 WILSON ST, FORT SILL, OK 73503-4472
(808) 283-1869
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5933
CO
363LA2100X
Acute Care Nurse Practitioner
Primary
107844
OK
363LA2100X
Acute Care Nurse Practitioner
943166
TX
363LF0000X
Family Nurse Practitioner
107844
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02501333
—
CO
Enumeration date
05/21/2010
Last updated
02/07/2025
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