Provider Demographics
NPI:1013562792
Name:HO, CHIEH-AN (NP-C)
Entity Type:Individual
Prefix:MS
First Name:CHIEH-AN
Middle Name:
Last Name:HO
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8301 BAY PKWY APT 212
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-2674
Mailing Address - Country:US
Mailing Address - Phone:385-439-9371
Mailing Address - Fax:
Practice Address - Street 1:762 59TH ST STE 7
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11220-3920
Practice Address - Country:US
Practice Address - Phone:917-338-6688
Practice Address - Fax:347-284-6423
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344931363LF0000X
UT10586767-4405363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily