Provider Demographics
NPI:1629964606
Name:DAVID, CHUNICHI LASHAWN (RN)
Entity type:Individual
Prefix:MRS
First Name:CHUNICHI
Middle Name:LASHAWN
Last Name:DAVID
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 1:409 TENNANT STA # 548
Mailing Address - Street 2:
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037-7115
Mailing Address - Country:US
Mailing Address - Phone:704-309-7074
Mailing Address - Fax:
Practice Address - Street 1:409 TENNANT STA # 548
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-7115
Practice Address - Country:US
Practice Address - Phone:704-309-7074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95192244163W00000X
NC5022628363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse