Provider Demographics
NPI:1437322252
Name:MA, CHING K (CRNP)
Entity Type:Individual
Prefix:MR
First Name:CHING
Middle Name:K
Last Name:MA
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Gender:M
Credentials:CRNP
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Mailing Address - Street 1:100 E LANCASTER AVE
Mailing Address - Street 2:MEDICAL SCIENCE BUILDING, SUITE 75
Mailing Address - City:WYNNEWOOD
Mailing Address - State:PA
Mailing Address - Zip Code:19096-3450
Mailing Address - Country:US
Mailing Address - Phone:484-476-1377
Mailing Address - Fax:484-476-1395
Practice Address - Street 1:100 E LANCASTER AVE
Practice Address - Street 2:MEDICAL SCIENCE BUILDING, SUITE 75
Practice Address - City:WYNNEWOOD
Practice Address - State:PA
Practice Address - Zip Code:19096-3450
Practice Address - Country:US
Practice Address - Phone:484-476-1377
Practice Address - Fax:484-476-1395
Is Sole Proprietor?:No
Enumeration Date:2008-04-12
Last Update Date:2016-08-26
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Provider Licenses
StateLicense IDTaxonomies
PASP013490363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care