MEDICARE: XING CHEN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	SP033432	PA

General Provider Information

NPI Number	:	1477433936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XING CHEN

Provider Business Mailing Address
First Line	:	736 W INGOMAR RD
Second Line	:
City	:	INGOMAR
State	:	PA
Zip	:	15127-2000
Country	:	US
Telephone Number	:	419-575-6685
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 OLD GILKESON RD
Second Line	:
City	:	MT LEBANON
State	:	PA
Zip	:	15228-1063
Country	:	US
Telephone Number	:	419-575-6685
Fax Number	:

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

Provider Enumeration Date	:	09/05/2025
Last Update Date	:	09/05/2025

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Directions to “ XING CHEN ” Practice Location

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