Individual
XALA X YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
4398 ATLANTA HWY, LOGANVILLE, GA 30052-7314
(404) 948-3019
Mailing address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 303-8700
(920) 303-5630
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
7617
WI
363L00000X
Nurse Practitioner
Primary
RN309279
GA
363LF0000X
Family Nurse Practitioner
7617
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100069124
—
WI
Enumeration date
06/27/2017
Last updated
07/20/2022
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