Individual
FAN WANG
Active
Individual
FAN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN. 306942
OH
363L00000X
Nurse Practitioner
11428NP
OH
363LF0000X
Family Nurse Practitioner
Primary
11428-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058596
—
OH
01
—
11428NP
OHIO LICENSE
OH
Enumeration date
02/07/2008
Last updated
12/11/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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