Healthcare Provider Details

I. General information

NPI: 1588489223
Provider Name (Legal Business Name): ADRIA CHEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/18/2024
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1897 GREY FALCON CIR SW
VERO BEACH FL
32962-8611
US

IV. Provider business mailing address

2284 SW MONTERREY LN
PORT SAINT LUCIE FL
34953-2033
US

V. Phone/Fax

Practice location:
  • Phone: 772-480-1346
  • Fax:
Mailing address:
  • Phone: 845-893-5050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number347704
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11044594
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9675043
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number636133
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: