Healthcare Provider Details

I. General information

NPI: 1497673164
Provider Name (Legal Business Name): CHRISTY TSZ-LING ANGELES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4122 E CRESCENT WAY
CHANDLER AZ
85249-6059
US

IV. Provider business mailing address

4122 E CRESCENT WAY
CHANDLER AZ
85249-6059
US

V. Phone/Fax

Practice location:
  • Phone: 602-418-7128
  • Fax:
Mailing address:
  • Phone: 602-418-7128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number335545
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: