Healthcare Provider Details

I. General information

NPI: 1013275999
Provider Name (Legal Business Name): EVA YIHUI WANG FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: YIHUI LI NP

II. Dates (important events)

Enumeration Date: 04/27/2012
Last Update Date: 01/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 E UNIVERSITY DR
TEMPE AZ
85281-5391
US

IV. Provider business mailing address

451 E UNIVERSITY DR
TEMPE AZ
85281-5391
US

V. Phone/Fax

Practice location:
  • Phone: 480-965-3349
  • Fax: 490-965-9555
Mailing address:
  • Phone: 480-965-3349
  • Fax: 480-727-3065

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP7634
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: