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GRACE WANG FNP-BC NPI 1104365303


NPI Information

NPI: 1104365303
Provider Name: GRACE WANG, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

CLIA Number: 33D2288945

Address:
6475 AUSTIN ST APT M1
REGO PARK, NY
ZIP 11374
Phone: (347) 436-8335
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Grace Wang, FNP-BC is a family nurse practitioner in Rego Park, NY with 4 years of experience. Grace Wang, FNP-BC NPI is 1104365303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6475 AUSTIN ST APT M1
REGO PARK, NY
ZIP 11374-195
Phone: (347) 436-8335

The NPI 1104365303 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 33D2288945 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2017 and was last updated on 7/28/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamily342655NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.