Healthcare Provider Details

I. General information

NPI: 1356145544
Provider Name (Legal Business Name): PING-AN ANNIE CHEN-CARRINGTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2025
Last Update Date: 04/04/2025
Certification Date: 04/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

660 S EUCLID AVE
SAINT LOUIS MO
63110-1010
US

IV. Provider business mailing address

9421 LAUGHING OAK CT
HENRICO VA
23228-1553
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-7388
  • Fax:
Mailing address:
  • Phone: 240-346-8465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: