Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Celisa Chan

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1720756752

Celisa Chan is a Student in an Organized Health Care Education/Training Program in Portales, New Mexico. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

1500 S Ave K Station 3 Shroc
Portales, NM 88130
Phone: (575) 562-2160
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1720756752
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 3, 2021
Last updated in NPPESSeptember 3, 2021
Certification dateAugust 19, 2021
Mailing address1500 S Avenue K, Station 3, Shroc, Portales, NM 88130

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