Provider Demographics
NPI:1558614859
Name:ZHANG, YUN (CRNP)
Entity Type:Individual
Prefix:
First Name:YUN
Middle Name:
Last Name:ZHANG
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 1:7505 OSLER DR STE 312
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-7740
Mailing Address - Country:US
Mailing Address - Phone:410-828-8005
Mailing Address - Fax:410-828-0537
Practice Address - Street 1:7505 OSLER DR STE 312
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-7740
Practice Address - Country:US
Practice Address - Phone:410-828-8005
Practice Address - Fax:410-828-0537
Is Sole Proprietor?:No
Enumeration Date:2012-10-24
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR162805363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner