MEDICARE: MRS. NING WANG ACUPUNCTURIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1124575709
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NING WANG ACUPUNCTURIST

Provider Business Mailing Address
First Line	:	9001 SE 47TH ST
Second Line	:
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040
Country	:	US
Telephone Number	:	206-519-9006
Fax Number	:

Provider Business Practice Location Address
First Line	:	9001 SE 47TH ST
Second Line	:
City	:	MERCER ISLAND
State	:	WA
Zip	:	98040-4452
Country	:	US
Telephone Number	:	206-519-9006
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/01/2016
Last Update Date	:	10/11/2020

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