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NPI Code Detail

MEDICARE: HEATHER LEIGH CHUNG FNP-C

MEDICARE: HEATHER LEIGH CHUNG 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
1207LP2900XPain Medicine (Anesthesiology) PhysicianRN14182AZ
2207LP2900XPain Medicine (Anesthesiology) PhysicianAP3565AZ

General Provider Information

NPI Number : 1497079438
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER LEIGH CHUNG FNP-C
Provider Business Mailing Address
First Line : 20950 N TATUM BLVD
Second Line : STE 100
City : PHOENIX
State : AZ
Zip : 85050-4204
Country : US
Telephone Number : 480-222-7246
Fax Number : 480-222-7271
Provider Business Practice Location Address
First Line : 20950 N TATUM BLVD STE 100
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-4204
Country : US
Telephone Number : 480-222-7246
Fax Number : 480-222-7271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2010
Last Update Date : 10/20/2020

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Directions to “ HEATHER LEIGH CHUNG FNP-C” Practice Location

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