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

Marilyn Marie Chan, EDDMSNMEDAPRN

Individual provider Pediatric Nurse Practitioner · NPI 1124175161

Marilyn Marie Chan, EDDMSNMEDAPRN is a Pediatric Nurse Practitioner in West Jordan, Utah. Licensed in Utah. Registered with an NPI since 2007.

Licensed in
UT
In the registry since
2007
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Practice location Address checks out

8925 S 2700 W
West Jordan, UT 84044
Phone: (801) 566-6200
Fax: (801) 566-7993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 87-199449-4405 (UT)

Record details

NPI number1124175161
Entity typeIndividual (Type 1)
GenderFemale
Credentials EDDMSNMEDAPRN
Sole proprietorNo
NPI enumeratedJanuary 4, 2007
Last updated in NPPESJuly 8, 2007

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