Individual
LING FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S 11TH ST, GIBBON BLDG., SUITE 6270, PHILADELPHIA, PA 19107-4824
(215) 955-8304
Mailing address
111 S 11TH ST, SUITE 6270, PHILADELPHIA, PA 19107-4824
(267) 254-1999
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26NJ00412700
NJ
363LA2100X
Acute Care Nurse Practitioner
Primary
SP011398
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102867945
—
PA
Enumeration date
10/12/2011
Last updated
03/07/2017
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