Marilyn Marie Chan, EDD MSN MED APRN - Nurse Practitioner in West Jordan, UT

Marilyn Marie Chan, EDD MSN MED APRN is a Nurse Practitioner - Pediatrics based in West Jordan, Utah. Marilyn Marie Chan is licensed to practice in Utah (license number 87-199449-4405) and her current practice location is 8925 South 2700 West, West Jordan, Utah. She can be reached at her office (for appointments etc.) via phone at (801) 566-6200.

NPI number for Marilyn Marie Chan is 1124175161 and her current mailing address is 3451 S Eastwood Drive, Salt Lake City, Utah. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124175161.

Contact Information

Marilyn Marie Chan, EDD MSN MED APRN
8925 South 2700 West,
West Jordan, UT 84044
(801) 566-6200
(801) 566-7993

Map and Direction




Provider's Profile

Full NameMarilyn Marie Chan
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location8925 South 2700 West, West Jordan, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124175161
  • Provider Enumeration Date: 01/04/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Marilyn Marie Chan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124175161NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics 87-199449-4405 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marilyn Marie Chan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Marilyn Marie Chan, EDD MSN MED APRN
3451 S Eastwood Drive,
Salt Lake City, UT 84109

Ph: (801) 272-2682
Marilyn Marie Chan, EDD MSN MED APRN
8925 South 2700 West,
West Jordan, UT 84044

Ph: (801) 566-6200

Reviews and Comments


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