Provider Demographics
NPI:1598801961
Name:WANG, NANCY YVONNE E (MD,)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:YVONNE E
Last Name:WANG
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:701 WELCH RD BLDG C
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94304-1713
Mailing Address - Country:US
Mailing Address - Phone:650-723-0757
Mailing Address - Fax:650-723-0121
Practice Address - Street 1:701 WELCH RD BLDG C
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94304-1713
Practice Address - Country:US
Practice Address - Phone:650-723-0757
Practice Address - Fax:650-723-0121
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG079905207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine