MEDICARE: GRACE CHIEN DNP, FNP-C

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	363LP2300X	Primary Care Nurse Practitioner	226697	OK
2	363L00000X	Nurse Practitioner	AP70076995	WA
3	363L00000X	Nurse Practitioner	C-APN.0105672-C-NP	CO
4	363LP2300X	Primary Care Nurse Practitioner	242662	AZ
5	363LP2300X	Primary Care Nurse Practitioner	10054174	OR

General Provider Information

NPI Number	:	1164262143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GRACE CHIEN DNP, FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 211699
Second Line	:
City	:	EAGAN
State	:	MN
Zip	:	55121-3699
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:	888-973-8821

Provider Business Practice Location Address
First Line	:	3623 CROSSINGS DR STE 206
Second Line	:
City	:	PRESCOTT
State	:	AZ
Zip	:	86305-7101
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:	888-973-8821

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

Provider Enumeration Date	:	05/28/2024
Last Update Date	:	02/02/2026

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