Individual
EDWARD LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANP
Contact information
Practice address
3311 PACIFIC AVE, LIVERMORE, CA 94550-7007
(925) 462-1755
(925) 201-6295
Mailing address
3311 PACIFIC AVE, LIVERMORE, CA 94550-7007
(925) 462-1755
(925) 201-6295
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60118146
WA
163W00000X
Registered Nurse
RN709195
CA
163WC1500X
Community Health Registered Nurse
PHN74857
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP60118946
WA
363LA2200X
Adult Health Nurse Practitioner
NP19114
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9662180
—
WA
01
—
G8890350
MEDICARE PTAN
—
Enumeration date
10/21/2009
Last updated
02/19/2013
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