Provider Demographics
NPI:1942560750
Name:ZHANG, WEIHUA (ANP, PHD)
Entity Type:Individual
Prefix:DR
First Name:WEIHUA
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:ANP, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4487 QUARTER HORSE DR NE
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-3176
Mailing Address - Country:US
Mailing Address - Phone:678-642-1160
Mailing Address - Fax:
Practice Address - Street 1:4487 QUARTER HORSE DR NE
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-3176
Practice Address - Country:US
Practice Address - Phone:678-642-1160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-25
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN131883163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse