Provider Demographics
NPI:1265865638
Name:WANG, ING-ING REBECCA (NP-C)
Entity Type:Individual
Prefix:MS
First Name:ING-ING
Middle Name:REBECCA
Last Name:WANG
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MS
Other - First Name:INGING
Other - Middle Name:REBECCA
Other - Last Name:WANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3112 BANDOLINO LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-1746
Mailing Address - Country:US
Mailing Address - Phone:972-596-7119
Mailing Address - Fax:
Practice Address - Street 1:3112 BANDOLINO LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-1746
Practice Address - Country:US
Practice Address - Phone:972-596-7119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-20
Last Update Date:2013-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX697072363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health