MARILYN MARIE CHAN EDD MSN MED APRN
NPI 1124175161
Nurse Practitioner - Pediatrics in West Jordan, UT

Q: What is Marilyn Chan's NPI number?

The NPI number for Marilyn Chan is 1124175161. It was assigned to this individual provider in the NPPES registry on January 4, 2007. The provider is also known as Marilyn Marie Jones.

Q: What is Marilyn Chan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Marilyn Chan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 04, 2007

8925 SOUTH 2700 WEST, WEST JORDAN, UT 84044(801) 566-6200(801) 566-7993 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marilyn Marie Chan Edd Msn Med Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARILYN MARIE CHAN EDD MSN MED APRN (NPI 1124175161) is an individual pediatrics provider in West Jordan, Utah, licensed in Utah (87-199449-4405) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1124175161

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMARILYN MARIE CHANCredential: EDD MSN MED APRN

Location Address8925 SOUTH 2700 WESTWest Jordan, UT 84044

Mailing Address3451 S Eastwood DriveSalt Lake City, UT 84109 · (801) 272-2682

Phone(801) 566-6200

Fax(801) 566-7993

Sole ProprietorNo

Enumeration DateJanuary 4, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1124175161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in UT · 87-199449-4405

8925 SOUTH 2700 WEST, West Jordan, UT 84044

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Other Names 1

Former Name (1)Marilyn Marie Jones

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marilyn Chan's NPI number?

The NPI number for Marilyn Chan is 1124175161. It was assigned to this individual provider in the NPPES registry on January 4, 2007. The provider is also known as Marilyn Marie Jones.

Where is Marilyn Chan located?

Marilyn Chan practices at 8925 South 2700 West, West Jordan, UT 84044. The listed phone number is (801) 566-6200.

What is Marilyn Chan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Marilyn Chan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.