Provider Demographics
NPI:1295339042
Name:CHAI, SIEW YENG (APRN)
Entity type:Individual
Prefix:
First Name:SIEW YENG
Middle Name:
Last Name:CHAI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:JOSELYN
Other - Middle Name:
Other - Last Name:CHAI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:19025 96TH AVENUE CT E
Mailing Address - Street 2:
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98375-8707
Mailing Address - Country:US
Mailing Address - Phone:206-310-8686
Mailing Address - Fax:
Practice Address - Street 1:1818 S UNION AVE STE 2A
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1953
Practice Address - Country:US
Practice Address - Phone:206-310-8686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-23
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1158479163W00000X
WA61194114363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse