Active NPIIndividual provider

Julie M Chan, CRNP

Nurse Practitioner, Pediatrics in Lynn, Massachusetts

NPI Number1356623375
Practice location
269 Union St, Lynn, MA 01901-1314
Fax
781-598-1050
Last updated
September 27, 2013

Julie M Chan is a Nurse Practitioner, Pediatrics based in Lynn, MA. Julie M Chan practices in Lynn, MA and has the professional credentials of CRNP. The NPI Number for Julie M Chan is 1356623375 and holds a License No. SP011552 (PA). The current practice location address for Julie M Chan is 269 Union St, Lynn, MA 01901-1314 and can be reached out via phone at 781-581-3900 and via fax at 781-598-1050.

Provider Profile Details

NPI Number
1356623375
Provider Name
Julie M Chan
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
269 Union St, Lynn, MA 01901-1314
Phone Number
781-581-3900
Fax Number
781-598-1050
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
September 15, 2011
Last Update Date
September 27, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
269 Union St
Lynn, MA 01901-1314
City
Lynn
Zip
01901-1314
Phone Number
781-581-3900
Fax Number
781-598-1050
Lynn, MA 01901Get directions →

Provider Business Mailing Address Details

Address
269 Union St
Lynn, MA 01901-1314
City
Lynn
State
MA
Zip
01901-1314
Phone Number
781-581-3900
Fax Number
781-598-1050

License Information

License Number (1)
SP011552
License State (1)
PA
Taxonomy (1)
Nurse Practitioner, Pediatrics · 363LP0200X
License Number (2)
RN2258814
License State (2)
MA
Taxonomy (2)
Nurse Practitioner, Pediatrics · 363LP0200X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Julie M Chan, CRNP?

The NPI number of Julie M Chan, CRNP is 1356623375. It was assigned on September 15, 2011 and is currently active in the NPPES registry.

What is the specialty of Julie M Chan, CRNP?

Julie M Chan, CRNP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in PA under license number SP011552.

Where does Julie M Chan, CRNP practice?

The practice location is 269 Union St, Lynn, MA 01901-1314. The office can be reached at 781-581-3900 (phone) or 781-598-1050 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356623375 directly on the NPPES registry website.

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