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Individual

LI WANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
1821 MARTIN LUTHER KING PKWY # 100277, DURHAM, NC 27707
(630) 740-0574
Mailing address
1821 MARTIN LUTHER KING PKWY # 100277, DURHAM, NC 27707-6336
(630) 740-0574

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9339187
FL
363LF0000X
Family Nurse Practitioner
ARNP9339187
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013939400
FL
Enumeration date
11/26/2014
Last updated
08/14/2019
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