Provider Demographics
NPI:1053868356
Name:CHIANG, YUN-HUA (NP-C)
Entity Type:Individual
Prefix:
First Name:YUN-HUA
Middle Name:
Last Name:CHIANG
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:548 CATALINA GRANDE DR
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27519-1007
Mailing Address - Country:US
Mailing Address - Phone:832-917-4053
Mailing Address - Fax:
Practice Address - Street 1:3404 WAKE FOREST RD FL 1
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7340
Practice Address - Country:US
Practice Address - Phone:919-862-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-02
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY307961363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY307961Medicaid
NY307961Medicare PIN
NY307961Medicaid
NY307961Medicare Oscar/Certification