Provider Demographics
NPI:1538672308
Name:LOU, MIAOPING (CRNP)
Entity Type:Individual
Prefix:
First Name:MIAOPING
Middle Name:
Last Name:LOU
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 OLD YORK RD STE A
Mailing Address - Street 2:
Mailing Address - City:ABINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:19001-2600
Mailing Address - Country:US
Mailing Address - Phone:215-576-1776
Mailing Address - Fax:215-576-1784
Practice Address - Street 1:1400 OLD YORK RD STE A
Practice Address - Street 2:
Practice Address - City:ABINGTON
Practice Address - State:PA
Practice Address - Zip Code:19001-2600
Practice Address - Country:US
Practice Address - Phone:215-576-1776
Practice Address - Fax:215-576-1784
Is Sole Proprietor?:No
Enumeration Date:2017-11-14
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP017802363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily