Healthcare Provider Details

I. General information

NPI: 1194825349
Provider Name (Legal Business Name): MIN HAN CHOI RN, CNN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 GEORGIA AVE NW
WASHINGTON DC
20307-0003
US

IV. Provider business mailing address

9906 MINBURN ST
GREAT FALLS VA
22066-2507
US

V. Phone/Fax

Practice location:
  • Phone: 202-782-0936
  • Fax:
Mailing address:
  • Phone: 703-759-3176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WN0300X
TaxonomyNephrology Registered Nurse
License Number4704088542
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: