NICOLE CHANG PMHNP
NPI 1881314292
Nurse Practitioner - Psychiatric/Mental Health in Fresh Meadows, NY
Active since August 29, 2022
About Nicole Chang Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLE CHANG PMHNP (NPI 1881314292) is an individual psychiatric/mental health provider in Fresh Meadows, New York, licensed in New York (404417) and active in the NPI registry since August 2022.
NPPES Registry Identity
NPI1881314292
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE CHANGCredential: PMHNP
Location Address7529 PARSONS BLVD # 1437Fresh Meadows, NY 11366-1037
Mailing Address7529 Parsons Blvd # 1437Fresh Meadows, NY 11366-1037 · (917) 837-3862
Phone(917) 837-3862
Sole ProprietorNo
Enumeration DateAugust 29, 2022
Last NPPES UpdateMay 13, 20242 updates tracked since enumeration
NPPES CertifiedMay 13, 2024
✔ NPI 1881314292 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 404417
7529 PARSONS BLVD # 1437, Fresh Meadows, NY 11366
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881314292, enumerated as an "individual" on August 29, 2022.
The provider is located at 7529 PARSONS BLVD # 1437 FRESH MEADOWS, NY 11366 and the phone number is (917) 837-3862.
Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.
