Provider Demographics
NPI:1851469373
Name:CHING, ANNABEL GEE-LAN (FNP)
Entity Type:Individual
Prefix:MS
First Name:ANNABEL
Middle Name:GEE-LAN
Last Name:CHING
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:ANNABEL
Other - Middle Name:CHING
Other - Last Name:ALLEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:39141 CIVIC CENTER DR
Mailing Address - Street 2:SUITE 350
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-5818
Mailing Address - Country:US
Mailing Address - Phone:510-248-6900
Mailing Address - Fax:510-248-6981
Practice Address - Street 1:39141 CIVIC CENTER DR
Practice Address - Street 2:SUITE 350
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94538-5818
Practice Address - Country:US
Practice Address - Phone:510-248-6900
Practice Address - Fax:510-248-6981
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374344363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
P27230Medicare UPIN
ZZZ20452ZMedicare PIN