Individual
LYDIA KUUIPO CHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
19646 N 27TH AVE STE 201, PHOENIX, AZ 85027-4026
(602) 663-9371
(602) 456-6887
Mailing address
19646 N 27TH AVE STE 201, PHOENIX, AZ 85027-4026
(602) 663-9371
(602) 456-6887
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP10674
AZ
Other
Enumeration date
02/06/2018
Last updated
06/07/2022
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