MEDICARE: MS. LI-LIN CHIU CRNP

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
1	363LA2200X	Adult Health Nurse Practitioner	R138342	MD
2	363LW0102X	Women's Health Nurse Practitioner	R138342	MD

General Provider Information

NPI Number	:	1134333941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LI-LIN CHIU CRNP

Provider Business Mailing Address
First Line	:	6512 LANGFORD CT
Second Line	:
City	:	CLARKSVILLE
State	:	MD
Zip	:	21029-1539
Country	:	US
Telephone Number	:	443-535-9062
Fax Number	:

Provider Business Practice Location Address
First Line	:	14000 JERICHO PARK RD
Second Line	:	BOWIE STATE UNIVERSITY HENRY WISE WELLNESS CENTER
City	:	BOWIE
State	:	MD
Zip	:	20715-3319
Country	:	US
Telephone Number	:	301-860-4170
Fax Number	:	301-860-4179

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	09/11/2025

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