Individual
MRS. ELIZABETH M CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN ARNP BC
Contact information
Practice address
920 2ND AVE S, SUITE 400, MINNEAPOLIS, MN 55402-3318
(612) 659-7111
Mailing address
420 SHERIDAN RD, APT. 7, HIGHWOOD, IL 60040-1339
(785) 331-9135
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9233964
FL
363LF0000X
Family Nurse Practitioner
Primary
209.007310
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y087Q
BCBS PROVIDER NO.
FL
Enumeration date
07/07/2006
Last updated
02/12/2009
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