Provider Demographics
NPI:1609957745
Name:DAHLEM, CHIN HWA YI (PHD, NP-C, RN)
Entity type:Individual
Prefix:MRS
First Name:CHIN HWA
Middle Name:YI
Last Name:DAHLEM
Suffix:
Gender:F
Credentials:PHD, NP-C, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 W HURON ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-4204
Mailing Address - Country:US
Mailing Address - Phone:734-664-6050
Mailing Address - Fax:
Practice Address - Street 1:312 W HURON ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-4204
Practice Address - Country:US
Practice Address - Phone:734-664-6050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704237494363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily