Individual
KAREN CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 W EUGIE AVE STE 204, GLENDALE, AZ 85304-1258
(623) 244-0050
Mailing address
535 W THOMAS RD APT 404, PHOENIX, AZ 85013-4251
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
308047
AZ
Other
Enumeration date
06/11/2024
Last updated
07/27/2024
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