Provider Demographics
NPI:1861053522
Name:CHEN, XINYI (CNM, MSN)
Entity type:Individual
Prefix:
First Name:XINYI
Middle Name:
Last Name:CHEN
Suffix:
Gender:F
Credentials:CNM, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 GAGE BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-9532
Mailing Address - Country:US
Mailing Address - Phone:509-942-3625
Mailing Address - Fax:509-627-2983
Practice Address - Street 1:900 STEVENS DR STE 203
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-3536
Practice Address - Country:US
Practice Address - Phone:509-942-2555
Practice Address - Fax:509-694-2253
Is Sole Proprietor?:No
Enumeration Date:2019-06-24
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
176B00000X
WAAP61223103367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No176B00000XOther Service ProvidersMidwife