Healthcare Provider Details

I. General information

NPI: 1881064004
Provider Name (Legal Business Name): ANNA HUNG-CHAN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2015
Last Update Date: 12/30/2024
Certification Date: 12/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

293 APACHE CIR
WESTERVILLE OH
43081-2791
US

IV. Provider business mailing address

293 APACHE CIR
WESTERVILLE OH
43081-2791
US

V. Phone/Fax

Practice location:
  • Phone: 614-581-0334
  • Fax:
Mailing address:
  • Phone: 614-581-0334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.17953
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRNCNP17953
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: