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NPI Code Detail

MEDICARE: CHAO XIE FNP-BC

MEDICARE: CHAO XIE FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WX0200XOncology Registered Nurse705023NY
2363LF0000XFamily Nurse Practitioner26NJ14965700NJ
3363LF0000XFamily Nurse Practitioner351320NY

General Provider Information

NPI Number : 1114618568
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAO XIE FNP-BC
Provider Business Mailing Address
First Line : 1412 14TH ST
Second Line :
City : FORT LEE
State : NJ
Zip : 07024-2007
Country : US
Telephone Number : 917-362-6168
Fax Number :
Provider Business Practice Location Address
First Line : 1275 YORK AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065-6007
Country : US
Telephone Number : 888-793-5519
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2023
Last Update Date : 02/21/2024

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