Provider Demographics
NPI:1790168714
Name:CHOU, SHU-CHIUNG (RN)
Entity Type:Individual
Prefix:DR
First Name:SHU-CHIUNG
Middle Name:
Last Name:CHOU
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 STEEPLE CHASE CIR
Mailing Address - Street 2:
Mailing Address - City:WESTFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01886-3740
Mailing Address - Country:US
Mailing Address - Phone:978-897-3409
Mailing Address - Fax:
Practice Address - Street 1:15 STEEPLE CHASE CIR
Practice Address - Street 2:
Practice Address - City:WESTFORD
Practice Address - State:MA
Practice Address - Zip Code:01886-3740
Practice Address - Country:US
Practice Address - Phone:978-897-3409
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-08
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2299570163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse