Provider Demographics
NPI:1487067294
Name:CHIN, NADIA CLAUDINE (RN)
Entity type:Individual
Prefix:MS
First Name:NADIA
Middle Name:CLAUDINE
Last Name:CHIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:NADIA
Other - Middle Name:CLAUDINE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:232 TECUMSEH AVE
Mailing Address - Street 2:PRIVATE HOUSE
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10553-1410
Mailing Address - Country:US
Mailing Address - Phone:347-701-5877
Mailing Address - Fax:
Practice Address - Street 1:9 W PROSPECT AVE
Practice Address - Street 2:310
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-2018
Practice Address - Country:US
Practice Address - Phone:914-699-0022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY613965163W00000X
NY613695163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health