Individual
MS. KAILA AZZURA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
751 LOMBARDI COURT, SANTA ROSA, CA 95407-5454
(707) 303-3600
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95020156
CA
Other
Enumeration date
06/28/2021
Last updated
05/08/2026
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