Marilyn Marie Chan, EDD MSN MED APRN
NPI 1124175161ActiveIndividual· Nurse Practitioner, Pediatrics· West Jordan, UT
Nurse Practitioner, Pediatrics (EDD MSN MED APRN) in West Jordan, Utah, licensed in UT, with an NPI issued in January 2007.
Overview
| NPI | 1124175161 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | EDD MSN MED APRN |
| Sole proprietor | No |
| NPI issued | Jan 4, 2007 |
| Last updated in NPPES | Jul 8, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Pediatrics Primary | 363LP0200X | 87-199449-4405 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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