| Doctor Name: | MRS. IVY YEN CHUA |
| NPI Number: | 1053568402 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, FNP |
| License Number: | 73423 |
| Business Practice Address: | 195 W Highway 246 Buellton, CA - 934279459 |
| Business Phone Number: | 5626823048 |
| Business Fax Number: | |
| Mailing Address: | 195 W Highway 246, BUELLTON |
| State: | CA |
| Postal Code: | 934279459 |
| Phone Number: | 5626823048 |
| Fax Number: | |
| NPI Enumeration Date: | 08/27/2008 |
| NPI Last Update Date: | 10/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | 73423 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |