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NPI Code Detail

MEDICARE: MICHELLE K CHEW NP

MEDICARE: MICHELLE K CHEW NP
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
1363L00000XNurse PractitionerAPN.0003100-NPCO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487627519
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE K CHEW NP
Provider Business Mailing Address
First Line : 203 S ROLLIE AVE
Second Line : BILLING DEPT - CREDENTIALIST
City : FORT LUPTON
State : CO
Zip : 80621-1508
Country : US
Telephone Number : 303-286-4560
Fax Number : 303-286-4589
Provider Business Practice Location Address
First Line : 1950 REDTAIL HAWK DR
Second Line :
City : ESTES PARK
State : CO
Zip : 80517-9780
Country : US
Telephone Number : 970-586-9230
Fax Number : 970-586-0292
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2006
Last Update Date : 07/01/2016

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Directions to “ MICHELLE K CHEW NP” Practice Location

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