Provider Demographics
NPI:1225512239
Name:HUANG, QIN (CNM)
Entity Type:Individual
Prefix:
First Name:QIN
Middle Name:
Last Name:HUANG
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 S PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:OH
Mailing Address - Zip Code:43302-6225
Mailing Address - Country:US
Mailing Address - Phone:614-390-4586
Mailing Address - Fax:740-383-2978
Practice Address - Street 1:960 S PROSPECT ST
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:OH
Practice Address - Zip Code:43302-6225
Practice Address - Country:US
Practice Address - Phone:740-383-2776
Practice Address - Fax:740-383-2978
Is Sole Proprietor?:No
Enumeration Date:2018-09-17
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001896176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife