Healthcare Provider Details

I. General information

NPI: 1013746130
Provider Name (Legal Business Name): BIQIAN LIU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2024
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2310 CHRISTOPHER COLUMBUS BLVD
PHILADELPHIA PA
19148-4206
US

IV. Provider business mailing address

PO BOX 746722
ATLANTA GA
30374-6722
US

V. Phone/Fax

Practice location:
  • Phone: 215-867-7098
  • Fax: 267-288-0389
Mailing address:
  • Phone: 773-352-1515
  • Fax: 312-733-9730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP030235
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: