Individual
TING LIN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, ACNP, GNP
Contact information
Practice address
17631 MAIDSTONE AVE, ARTESIA, CA 90701-3821
(562) 324-9271
Mailing address
17631 MAIDSTONE AVE, ARTESIA, CA 90701-3821
(562) 324-9271
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
501059
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
14744
CA
363LG0600X
Gerontology Nurse Practitioner
14744
CA
Other
Enumeration date
04/07/2009
Last updated
05/05/2011
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