Provider Demographics
NPI:1376055814
Name:LANG, CINDY YUK-WAH (AGPCNP-BC)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:YUK-WAH
Last Name:LANG
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 STONE CREST DR
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-7171
Mailing Address - Country:US
Mailing Address - Phone:857-222-9282
Mailing Address - Fax:
Practice Address - Street 1:651 ORCHARD ST STE 202
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02744-1052
Practice Address - Country:US
Practice Address - Phone:857-222-9282
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-24
Last Update Date:2017-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2261591363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2261591OtherCNP