Provider Demographics
NPI:1952099764
Name:ZHU, FENGQING (FNP-C)
Entity Type:Individual
Prefix:
First Name:FENGQING
Middle Name:
Last Name:ZHU
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6735 LEMON LEAF DR
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-3423
Mailing Address - Country:US
Mailing Address - Phone:858-381-7375
Mailing Address - Fax:
Practice Address - Street 1:2185 GARNET AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-3603
Practice Address - Country:US
Practice Address - Phone:858-270-9270
Practice Address - Fax:858-270-7168
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-28
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF01231457363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily