National Provider Identifier
Mimi Chan, NP
Mimi Chan, NP is listed in the NPPES registry with a primary specialty of Nurse Practitioner in Elmira, NY and a listed phone number of (607) 737-4130.
Profile Overview
- NPI
- 1700469442
- Provider Type
- Individual
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- April 30, 2021
- Last Updated
- April 30, 2021
Practice Location
- 600 Roe Ave # 1A
- Elmira, NY 14905-1629
Phone: (607) 737-4130
Mailing Address
- 571 Saint Josephs Blvd Fl 2
- Elmira, NY 14901-3230
Specialties
- Nurse Practitioner (363L00000X)
Full Record
- NPI
- 1700469442
- Entity Type
- Individual
- Last Name
- Chan
- First Name
- Mimi
- Credential
- NP
- Mailing Street Address
- 571 Saint Josephs Blvd Fl 2
- Mailing City
- Elmira
- Mailing State
- NY
- Mailing ZIP Code
- 14901-3230
- Mailing Country
- US
- Mailing Phone
- (607) 271-2094
- Mailing Fax
- (607) 271-2071
- Practice Street Address
- 600 Roe Ave # 1A
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14905-1629
- Practice Country
- US
- Practice Phone
- (607) 737-4130
- Enumeration Date
- April 30, 2021
- Last Updated
- April 30, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 19, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Nurse Practitioner (363L00000X)