Healthcare Provider Details

I. General information

NPI: 1912673922
Provider Name (Legal Business Name): NATALIE QINGYAN LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2021
Last Update Date: 08/19/2021
Certification Date: 08/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3701 39TH ST NW APT B182
WASHINGTON DC
20016-5515
US

IV. Provider business mailing address

3701 39TH ST NW APT B182
WASHINGTON DC
20016-5515
US

V. Phone/Fax

Practice location:
  • Phone: 202-412-3672
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: