Individual
HAN-CHIN C HUANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1510 E WAGON WHEEL LN, SUITE 110, FORT MOHAVE, AZ 86426-6697
(928) 788-3333
(928) 788-3555
Mailing address
2175 MIMOSA DR, LAKE HAVASU CITY, AZ 86403-6793
(928) 846-0290
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP3760
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
560526
—
AZ
Enumeration date
09/29/2010
Last updated
01/27/2016
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