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Individual

IFAN CHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
501 1ST AVE, SOUTH SIOUX CITY, NE 68776-1703
(402) 494-3064
(712) 294-7829
Mailing address
501 1ST AVE, SOUTH SIOUX CITY, NE 68776-1703
(402) 494-3064
(712) 294-7299

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
44883
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
160575
BC/BS ID NUMBER
KS
01
44883
ARNP LICENSE NUMBER
KS
Enumeration date
09/19/2005
Last updated
04/22/2024
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