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NPI Code Detail

MEDICARE: DONNA BELLE CHAN FNP

MEDICARE:   DONNA BELLE  CHAN  FNP
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
1363LF0000XFamily Nurse Practitioner23404CA

General Provider Information

NPI Number : 1194155994
Entity Type Code : Individual
Provider Name (Legal Business Name) : DONNA BELLE CHAN FNP
Provider Business Mailing Address
First Line : 4900 CALIFORNIA AVE
Second Line : SUITE 400B
City : BAKERSFIELD
State : CA
Zip : 93309-7024
Country : US
Telephone Number : 661-630-7046
Fax Number :
Provider Business Practice Location Address
First Line : 1001 MAIN ST
Second Line :
City : DELANO
State : CA
Zip : 93215-1731
Country : US
Telephone Number : 661-721-7080
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2013
Last Update Date : 11/15/2013

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Directions to “ DONNA BELLE CHAN FNP” Practice Location

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