Healthcare Provider Details

I. General information

NPI: 1902916125
Provider Name (Legal Business Name): CINDY F HUANG FNP; PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

729 BROADWAY ST
QUINCY IL
62301-2708
US

IV. Provider business mailing address

729 BROADWAY ST
QUINCY IL
62301-2708
US

V. Phone/Fax

Practice location:
  • Phone: 217-228-0252
  • Fax:
Mailing address:
  • Phone: 217-228-0252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: