Provider Demographics
NPI:1639764624
Name:WANG, YIN (MSN -AGACNP-DC, CCRN)
Entity Type:Individual
Prefix:MRS
First Name:YIN
Middle Name:
Last Name:WANG
Suffix:
Gender:F
Credentials:MSN -AGACNP-DC, CCRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8122 DATAPOINT DR
Mailing Address - Street 2:STE 700
Mailing Address - City:SAN ANTONO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3444
Mailing Address - Country:US
Mailing Address - Phone:210-615-0600
Mailing Address - Fax:210-615-1899
Practice Address - Street 1:8122 DATAPOINT DR
Practice Address - Street 2:STE 700
Practice Address - City:SAN ANTONO
Practice Address - State:TX
Practice Address - Zip Code:78229-3444
Practice Address - Country:US
Practice Address - Phone:210-615-0600
Practice Address - Fax:210-615-1899
Is Sole Proprietor?:No
Enumeration Date:2021-03-02
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1016227363LA2200X, 363LG0600X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology