Healthcare Provider Details

I. General information

NPI: 1285930933
Provider Name (Legal Business Name): TZU-CHING LIU ANP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/28/2011
Last Update Date: 08/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4315 DIPLOMACY DR
ANCHORAGE AK
99508-5926
US

IV. Provider business mailing address

4315 DIPLOMACY DR
ANCHORAGE AK
99508-5926
US

V. Phone/Fax

Practice location:
  • Phone: 907-729-2073
  • Fax: 907-729-1831
Mailing address:
  • Phone: 907-729-2073
  • Fax: 907-729-1831

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1195
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: