NPI 1073116125 · live from the CMS NPI Registry
Diem Nguyen Chang, NP
Nurse Practitioner, Pediatrics in Thornton, CO. National Provider Identifier 1073116125, active.
NPI record
| NPI | 1073116125 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 9195 Grant St, Thornton, CO 80229 |
| Practice phone | 720-647-5858 |
| Mailing address | 1777 Wewatta St Apt 20619, Denver, CO 80202 |
| Enumerated | November 20, 2020 |
| Last updated | November 20, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | RN.1667433 (CO) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | APN.0995908 (CO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.