Healthcare Provider Details

I. General information

NPI: 1669393252
Provider Name (Legal Business Name): YIHSUAN TSENG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3925 S 147TH ST STE 113
OMAHA NE
68144-5576
US

IV. Provider business mailing address

3925 S 147TH ST STE 113
OMAHA NE
68144-5576
US

V. Phone/Fax

Practice location:
  • Phone: 929-734-9431
  • Fax:
Mailing address:
  • Phone: 929-734-9431
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number114
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: