Diana Chia, CRNP | |
632 Broadway Ph 12, New York, NY 10012-2614 | |
(347) 294-3414 | |
Not Available |
Full Name | Diana Chia |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Primary Care |
Location | 632 Broadway Ph 12, New York, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336524503 | NPI | - | NPPES |
2061828 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP2300X | Nurse Practitioner - Primary Care | AP60607507 (Washington) | Primary |
Entity Name | Sea-mar Community Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811051170 PECOS PAC ID: 7315831161 Enrollment ID: O20040211001210 |
Mailing Address | Practice Location Address |
---|---|
Diana Chia, CRNP 632 Broadway Ph 12, New York, NY 10012-2614 Ph: (347) 294-3414 | Diana Chia, CRNP 632 Broadway Ph 12, New York, NY 10012-2614 Ph: (347) 294-3414 |
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