Individual
PANHIA YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, AGNP
Contact information
Practice address
1414 N TAYLOR DR, SHEBOYGAN, WI 53081-1988
(920) 458-9800
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14265
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100267728
—
WI
Enumeration date
11/21/2023
Last updated
11/26/2024
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