Individual
LA CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1095 MIDWAY RD, MENASHA, WI 54952-1115
(920) 720-2300
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 830-5900
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
16038
WI
363LF0000X
Family Nurse Practitioner
16038-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
16038-33
WI
Other
Enumeration date
11/05/2025
Last updated
12/11/2025
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