Individual
KUO SHENG YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APNP, FNP-BC
Contact information
Practice address
6611 SPRING ST, MOUNT PLEASANT, WI 53406-2632
(262) 504-3100
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 504-3100
(262) 504-3115
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13519
WI
363LF0000X
Family Nurse Practitioner
13519-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100240784
—
WI
Enumeration date
05/15/2023
Last updated
07/25/2023
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