Provider Demographics
NPI:1255981593
Name:CHUNG, EUNMEE P (DNP)
Entity type:Individual
Prefix:DR
First Name:EUNMEE
Middle Name:P
Last Name:CHUNG
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14780 W MOUNTAIN VIEW BLVD STE 110
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85374-7280
Mailing Address - Country:US
Mailing Address - Phone:623-240-1110
Mailing Address - Fax:877-769-5302
Practice Address - Street 1:14780 W MOUNTAIN VIEW BLVD
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-4799
Practice Address - Country:US
Practice Address - Phone:236-240-1110
Practice Address - Fax:877-796-5302
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-18
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA95012253363L00000X
AZ232368363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner