Provider Demographics
NPI:1639328032
Name:YANG, YING (MSN, ANP)
Entity Type:Individual
Prefix:
First Name:YING
Middle Name:
Last Name:YANG
Suffix:
Gender:F
Credentials:MSN, ANP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:995 OLD EAGLE SCHOOL RD STE 304F
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-1701
Mailing Address - Country:US
Mailing Address - Phone:610-688-3099
Mailing Address - Fax:610-687-5350
Practice Address - Street 1:995 OLD EAGLE SCHOOL RD STE 304F
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-1701
Practice Address - Country:US
Practice Address - Phone:610-688-3099
Practice Address - Fax:610-687-5350
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA10230NP363L00000X
OH10230-NP363LA2200X
PASP020372363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2874993Medicaid
OH2874993Medicaid