Healthcare Provider Details

I. General information

NPI: 1457165722
Provider Name (Legal Business Name): CHRISTINA ZANG RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4801 E LINWOOD BLVD
KANSAS CITY MO
64128-2226
US

IV. Provider business mailing address

1840 S CRESCENT AVE
INDEPENDENCE MO
64052-1844
US

V. Phone/Fax

Practice location:
  • Phone: 816-805-7124
  • Fax: 816-922-4838
Mailing address:
  • Phone: 816-419-9969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number148390
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: