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NPI Code Detail

MEDICARE: YAN NIAN FAN

MEDICARE:   YAN NIAN FAN
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
1225700000XMassage Therapist0019004033VA
2171100000XAcupuncturist0121000655VA

General Provider Information

NPI Number : 1184217572
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAN NIAN FAN
Provider Business Mailing Address
First Line : 9419 BROAD MEADOWS RD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-3101
Country : US
Telephone Number : 804-937-6738
Fax Number :
Provider Business Practice Location Address
First Line : 2567 HOMEVIEW DR
Second Line :
City : RICHMOND
State : VA
Zip : 23294-1700
Country : US
Telephone Number : 804-937-6738
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/16/2021
Last Update Date : 02/16/2021

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Directions to “ YAN NIAN FAN ” Practice Location

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