NPI 1689395402 · live from the CMS NPI Registry
Souliya Scott Chan, RN
Registered Nurse, General Practice in Oklahoma City, OK. National Provider Identifier 1689395402, active.
NPI record
| NPI | 1689395402 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 921 Ne 13th St, Oklahoma City, OK 73104 |
| Practice phone | 405-456-1000 |
| Mailing address | 4206 Ne 33rd St, Oklahoma City, OK 73121 |
| Enumerated | September 9, 2022 |
| Last updated | September 9, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | R0067678 (OK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.