Healthcare Provider Details

I. General information

NPI: 1699325340
Provider Name (Legal Business Name): LINGYAN CHEN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2019
Last Update Date: 09/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 S MAIN ST
NEWMARKET NH
03857-1835
US

IV. Provider business mailing address

231 PEAD HILL RD
WILTON NH
03086-5222
US

V. Phone/Fax

Practice location:
  • Phone: 603-659-3106
  • Fax:
Mailing address:
  • Phone: 603-236-6755
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number064811-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: