Healthcare Provider Details

I. General information

NPI: 1851898159
Provider Name (Legal Business Name): SHIAOLIN MOLLY CHENG DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2018
Last Update Date: 05/20/2020
Certification Date: 05/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7650 E PARHAM RD STE 100
RICHMOND VA
23294-4376
US

IV. Provider business mailing address

1115 BOULDERS PKWY STE 200
NORTH CHESTERFIELD VA
23225-4067
US

V. Phone/Fax

Practice location:
  • Phone: 804-482-6582
  • Fax:
Mailing address:
  • Phone: 804-560-5595
  • Fax: 804-560-9029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024175904
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: