Individual
MRS. CONSOLACION MONICA B CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1700 W 10TH ST, INDIANAPOLIS, IN 46222-3802
(317) 636-4400
Mailing address
21 EASTBROOK BND STE 218, PEACHTREE CITY, GA 30269-1546
(260) 407-8009
(260) 407-8009
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71010626A
IN
Other
Enumeration date
01/04/2021
Last updated
08/13/2024
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