MEDICARE: BIQIAN LIU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	SP030235	PA

General Provider Information

NPI Number	:	1013746130
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BIQIAN LIU

Provider Business Mailing Address
First Line	:	PO BOX 746722
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30374-6722
Country	:	US
Telephone Number	:	773-352-1515
Fax Number	:	312-733-9730

Provider Business Practice Location Address
First Line	:	2310 CHRISTOPHER COLUMBUS BLVD
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19148-4206
Country	:	US
Telephone Number	:	215-867-7098
Fax Number	:	267-288-0389

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/29/2024
Last Update Date	:	04/28/2025

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Directions to “ BIQIAN LIU ” Practice Location

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