Individual
QING Q CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
512 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1458
(765) 497-3551
Mailing address
512 SAGAMORE PKWY W, WEST LAFAYETTE, IN 47906-1458
(765) 497-3551
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71011891A
IN
Other
Enumeration date
08/19/2021
Last updated
12/10/2021
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