Provider Demographics
NPI:1588690523
Name:CHINN, MICHELLE E (CNP ARNP)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:E
Last Name:CHINN
Suffix:
Gender:F
Credentials:CNP ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 STEVENS DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-3535
Mailing Address - Country:US
Mailing Address - Phone:509-946-2699
Mailing Address - Fax:509-946-2677
Practice Address - Street 1:900 STEVENS DR
Practice Address - Street 2:SUITE 101
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3509
Practice Address - Country:US
Practice Address - Phone:509-946-2699
Practice Address - Fax:509-946-2677
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP30007037363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA9652355Medicaid
WA8861598OtherMEDICARE
WA8861598OtherMEDICARE