Wellformed AI

NPI 1275835530 · live from the CMS NPI Registry

Stephanie Cc Yu Chon, RN CPNP

Nurse Practitioner, Pediatrics in Colorado Springs, CO. National Provider Identifier 1275835530, active.

NPI record

NPI1275835530 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Pediatrics 363LP0200X
Practice location4190 E Woodmen Rd Ste 100, Colorado Springs, CO 80920
Practice phone719-632-4455
EnumeratedNovember 18, 2010
Last updatedSeptember 10, 2018
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Pediatrics208000000X991605 (CO)
Nurse Practitioner, Pediatrics363LP0200X590290 (TX)
Nurse Practitioner, Pediatrics primary363LP0200XRXN0101155NP (CO)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.