Provider Demographics
NPI:1942441183
Name:NGO, QIONG-MEI (CERTIFIED NURSE PRAC)
Entity Type:Individual
Prefix:MS
First Name:QIONG-MEI
Middle Name:
Last Name:NGO
Suffix:
Gender:F
Credentials:CERTIFIED NURSE PRAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25059 WILDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-4976
Mailing Address - Country:US
Mailing Address - Phone:440-979-9838
Mailing Address - Fax:
Practice Address - Street 1:25059 WILDWOOD DR
Practice Address - Street 2:
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-4976
Practice Address - Country:US
Practice Address - Phone:440-979-9838
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.240937363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner