Provider Demographics
NPI:1740533868
Name:VANG, SAI (NP-C)
Entity type:Individual
Prefix:
First Name:SAI
Middle Name:
Last Name:VANG
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1897 S ORANGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-5246
Mailing Address - Country:US
Mailing Address - Phone:559-304-4004
Mailing Address - Fax:
Practice Address - Street 1:1897 S ORANGEWOOD DR
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-5246
Practice Address - Country:US
Practice Address - Phone:559-304-4004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP22132363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily