MEDICARE: NANCY L. WANG M.D.

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	207Q00000X	Family Medicine Physician	0101059202	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1982668398	OTHER	VA	NPI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982668398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY L. WANG M.D.

Provider Business Mailing Address
First Line	:	1301 COLLEGE AVE
Second Line	:	LEE HALL 112
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-5300
Country	:	US
Telephone Number	:	540-654-1040
Fax Number	:	540-654-1077

Provider Business Practice Location Address
First Line	:	1301 COLLEGE AVE
Second Line	:	LEE HALL 112
City	:	FREDERICKSBURG
State	:	VA
Zip	:	22401-5300
Country	:	US
Telephone Number	:	540-654-1040
Fax Number	:	540-654-1077

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

Provider Enumeration Date	:	04/13/2006
Last Update Date	:	01/08/2026

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