Healthcare Provider Details

I. General information

NPI: 1013523745
Provider Name (Legal Business Name): YANGYANG HU CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2020
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3825 FISHCREEK RD STE 200
STOW OH
44224-4316
US

IV. Provider business mailing address

3825 FISHCREEK RD STE 200
STOW OH
44224-4316
US

V. Phone/Fax

Practice location:
  • Phone: 234-867-6970
  • Fax: 234-867-6979
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF310144
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberAPRN.CNP.025695
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.025695
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: