Healthcare Provider Details

I. General information

NPI: 1538335195
Provider Name (Legal Business Name): YI NING HUANG ACNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2008
Last Update Date: 05/06/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 SUMMITT SQ
MIDDLETOWN OH
45042-3400
US

IV. Provider business mailing address

2824 ASH RIDGE DR
BEAVERCREEK OH
45434-5895
US

V. Phone/Fax

Practice location:
  • Phone: 513-424-6663
  • Fax:
Mailing address:
  • Phone: 937-431-8377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number2008000050
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: