Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 71002459A | IN |
NPI | 1013101922 |
---|---|
Provider Name | Patricia A Chin |
First Address | Indianapolis, IN 46260-1920 |
Second Address | Indianapolis, IN 46260-1920 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2007 |
Last Update Date | 10/09/2021 |