CHAN MI KIM FNP
NPI 1336854181
Nurse Practitioner - Family in Flushing, NY
Active since January 17, 2023
About Chan Mi Kim Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHAN MI KIM FNP (NPI 1336854181) is an individual family provider in Flushing, New York, licensed in New York (F339292-01) and active in the NPI registry since January 2023.
NPPES Registry Identity
NPI1336854181
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCHAN MI KIMCredential: FNP
Location Address3834 PARSONS BLVD # 1DFlushing, NY 11354-5843
Mailing Address3928 217th StBayside, NY 11361-2326
Phone(718) 762-1710
Sole ProprietorNo
Enumeration DateJanuary 17, 2023
NPPES CertifiedJanuary 16, 2023
✔ NPI 1336854181 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F339292-01
3834 PARSONS BLVD # 1D, Flushing, NY 11354
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336854181, enumerated as an "individual" on January 17, 2023.
The provider is located at 3834 PARSONS BLVD # 1D FLUSHING, NY 11354 and the phone number is (718) 762-1710.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
