Tracey E Chan is a Nurse Practitioner in Detroit, Michigan. Tracey E Chan practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Tracey E Chan is 1710091376. The last update date is 2011-05-10.
Tracey E Chan's current location address is 5555 Conner St, Detroit, Michigan. You can contact this provider via phone number 3135791182 and fax number 3135795128. The mailing address for Tracey E Chan is 5555 Conner St, Detroit, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey E Chan |
|---|---|
| Address | 5555 Conner St, Detroit, Michigan |
| Phone Number | 3135791182 |
| Fax Number | 3135795128 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1710091376 |
|---|---|
| Provider Enumeration Date | 2006-08-19 |
| Last Updated Date | 2011-05-10 |
Provider Mailing Address Detail
| Address | 5555 Conner St |
|---|---|
| City | Detroit |
| State | Michigan (MI) |
| Post Code | 482133448 |
| Phone Number | 3135791182 |
| Fax Number | 3135795128 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 4704220570 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4956148 | MI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Tracey E Chan by the Centers for Medicare & Medicaid Services?
The Tracey E Chan has been assigned the NPI (National Provider Identifier) 1710091376. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Tracey E Chan is physically located?
The Tracey E Chan is physically situated at the following address: 5555 Conner St, Detroit, MI, 482133448.
What is Tracey E Chan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tracey E Chan is Nurse Practitioner, and the taxonomy code that classifies this field of practice is 363L00000X.
On what date did the Tracey E Chan receive its 1710091376 assignment from the Centers for Medicare & Medicaid Services?
The Tracey E Chan was assigned its 1710091376 by the Centers for Medicare & Medicaid Services on 2006-08-19.
When was the Tracey E Chan's information last updated?
The Tracey E Chan's information was last updated on 2011-05-10.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY