Provider Demographics
NPI:1295286110
Name:ZENG, QIAN (APRN)
Entity type:Individual
Prefix:MS
First Name:QIAN
Middle Name:
Last Name:ZENG
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2800 MAIN STREET
Mailing Address - Street 2:LEVEL 3 CANCER CENTER
Mailing Address - City:BRIDGEPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06606-4201
Mailing Address - Country:US
Mailing Address - Phone:203-576-6141
Mailing Address - Fax:203-581-6587
Practice Address - Street 1:2800 MAIN STREET
Practice Address - Street 2:LEVEL 3 CANCER CENTER
Practice Address - City:BRIDGEPORT
Practice Address - State:CT
Practice Address - Zip Code:06606-4201
Practice Address - Country:US
Practice Address - Phone:203-576-6141
Practice Address - Fax:203-581-6587
Is Sole Proprietor?:No
Enumeration Date:2016-10-14
Last Update Date:2022-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6778363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology