MS. CHAN MARY SOEUR NPI 1437893310

NPI Information

NPI: 1437893310
Provider Name: MS. CHAN MARY SOEUR
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
310 8TH ST STE 210
OAKLAND, CA
ZIP 94607
Phone: (510) 735-3900
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MS. Chan Mary Soeur is a psychiatric/mental health nurse practitioner in Oakland, CA. MS. Chan Mary Soeur NPI is 1437893310. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

310 8TH ST STE 210
OAKLAND, CA
ZIP 94607-527
Phone: (510) 735-3900
Fax: (510) 735-3941

The NPI 1437893310 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/26/2022 and was last updated on 2/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	95027598	CALIFORNIA	Yes
2	363L00000X	Nurse Practitioner		95027598	CALIFORNIA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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