Individual
ZHENGQI FAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, APNP, FNP-C
Contact information
Practice address
6609 W GREENFIELD AVE, WEST ALLIS, WI 53214-4958
(414) 257-8577
Mailing address
PO BOX 735044, CHICAGO, IL 60673-2561
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10430
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100293229
—
WI
Enumeration date
10/01/2020
Last updated
02/14/2025
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