Healthcare Provider Details

I. General information

NPI: 1770497497
Provider Name (Legal Business Name): HANNA YANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2026
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1230 ALVERSER DR STE 100
MIDLOTHIAN VA
23113-2653
US

IV. Provider business mailing address

5310 LIBBIE MILL WEST BLVD
RICHMOND VA
23230-2604
US

V. Phone/Fax

Practice location:
  • Phone: 804-893-7800
  • Fax:
Mailing address:
  • Phone: 773-849-9214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024198985
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: