Provider Demographics
NPI:1427589878
Name:NCHANG, CYRIAC (CRNP, DNP)
Entity Type:Individual
Prefix:DR
First Name:CYRIAC
Middle Name:
Last Name:NCHANG
Suffix:
Gender:M
Credentials:CRNP, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7610 CARROLL AVE STE 260
Mailing Address - Street 2:
Mailing Address - City:TAKOMA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20912-6302
Mailing Address - Country:US
Mailing Address - Phone:301-326-1916
Mailing Address - Fax:301-326-1923
Practice Address - Street 1:7610 CARROLL AVE STE 260
Practice Address - Street 2:
Practice Address - City:TAKOMA PARK
Practice Address - State:MD
Practice Address - Zip Code:20912-6302
Practice Address - Country:US
Practice Address - Phone:301-326-1916
Practice Address - Fax:301-326-1923
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-27
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR187299363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily