Healthcare Provider Details

I. General information

NPI: 1881517241
Provider Name (Legal Business Name): WINDY VANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1716 FORDEM AVE
MADISON WI
53704-4604
US

IV. Provider business mailing address

1035 W FIEDLER LN APT 5
MADISON WI
53713-3893
US

V. Phone/Fax

Practice location:
  • Phone: 608-221-3511
  • Fax: 608-221-3514
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: