Provider Demographics
NPI:1649412552
Name:HU, QIUPING (NP)
Entity Type:Individual
Prefix:
First Name:QIUPING
Middle Name:
Last Name:HU
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5805 STATE BRIDGE RD
Mailing Address - Street 2:SUITE G-253
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-8220
Mailing Address - Country:US
Mailing Address - Phone:404-579-0072
Mailing Address - Fax:678-951-1435
Practice Address - Street 1:5805 STATE BRIDGE RD
Practice Address - Street 2:SUITE G-253
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-8220
Practice Address - Country:US
Practice Address - Phone:404-579-0072
Practice Address - Fax:678-951-1435
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-24
Last Update Date:2009-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN121854363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health