Provider Demographics
NPI:1366851339
Name:CHOU, NI HUA (FNP)
Entity Type:Individual
Prefix:
First Name:NI HUA
Middle Name:
Last Name:CHOU
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1196 N PARK AVE
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91768-3027
Mailing Address - Country:US
Mailing Address - Phone:909-623-4050
Mailing Address - Fax:909-620-5259
Practice Address - Street 1:1196 N PARK AVE
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91768-3027
Practice Address - Country:US
Practice Address - Phone:909-623-4050
Practice Address - Fax:909-620-5259
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-04
Last Update Date:2014-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95000625363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily