Healthcare Provider Details

I. General information

NPI: 1366233108
Provider Name (Legal Business Name): ANNIE WANG NELSON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N2198 UNC HOSPITALS
CHAPEL HILL NC
27599-0001
US

IV. Provider business mailing address

N2198 UNC HOSPITALS
CHAPEL HILL NC
27599-0001
US

V. Phone/Fax

Practice location:
  • Phone: 919-966-5136
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberRTL25-0141
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: