MEDICARE: YIYANG EMILY LIU FNP-C

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	338480	NY
2	363LF0000X	Family Nurse Practitioner	AP127972	TX

General Provider Information

NPI Number	:	1215350913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YIYANG EMILY LIU FNP-C

Provider Business Mailing Address
First Line	:	11725 N FM 620
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750
Country	:	US
Telephone Number	:	866-389-2727
Fax Number	:

Provider Business Practice Location Address
First Line	:	11725 N FM 620
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-1348
Country	:	US
Telephone Number	:	866-389-2727
Fax Number	:

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

Provider Enumeration Date	:	01/31/2014
Last Update Date	:	10/02/2025

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