Fan Wang, CFNP
Nurse Practitioner, Family in Dayton, OH. Individual provider (NPI-1).
NPI number1760660211
StatusActive
Last updated in NPPESDec 11, 2015
Details
- NPI
- 1760660211
- Entity type
- Individual (NPI-1)
- Name
- Fan Wang
- Credential
- CFNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 7, 2008
- Last updated
- Dec 11, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 11428-NP | OH | Yes |
| 163W00000X | Registered Nurse | RN. 306942 | OH | |
| 363L00000X | Nurse Practitioner | 11428NP | OH |
Practice location
4100 W 3rd StDayton, OH 45428-9000
Phone 937-268-6511
Mailing address
4100 W 3rd StDayton, OH 45428-9000
Phone 937-268-6511
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