Provider Demographics
NPI:1134333941
Name:CHIU, LI-LIN (CRNP)
Entity type:Individual
Prefix:MS
First Name:LI-LIN
Middle Name:
Last Name:CHIU
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6512 LANGFORD CT
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1539
Mailing Address - Country:US
Mailing Address - Phone:443-535-9062
Mailing Address - Fax:
Practice Address - Street 1:14000 JERICHO PARK RD
Practice Address - Street 2:BOWIE STATE UNIVERSITY HENRY WISE WELLNESS CENTER
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-3319
Practice Address - Country:US
Practice Address - Phone:301-860-4170
Practice Address - Fax:301-860-4179
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDR138342363LA2200X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Not Answered363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health