Provider Demographics
NPI:1043632854
Name:TANG, NANCY YIMFONG (NP-C, FNP, APRN)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:YIMFONG
Last Name:TANG
Suffix:
Gender:F
Credentials:NP-C, FNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2312 DIAMOND SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-7871
Mailing Address - Country:US
Mailing Address - Phone:832-338-0582
Mailing Address - Fax:
Practice Address - Street 1:2312 DIAMOND SPRINGS DR
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7871
Practice Address - Country:US
Practice Address - Phone:832-338-0582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX580370363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily