EDWARD LIU ANP NPI 1114253457

NPI Information

NPI: 1114253457
Provider Name: EDWARD LIU, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
3311 PACIFIC AVE
LIVERMORE, CA
ZIP 94550
Phone: (925) 462-1755
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Edward Liu, ANP is an adult health nurse practitioner in Livermore, CA. Edward Liu, ANP NPI is 1114253457. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3311 PACIFIC AVE
LIVERMORE, CA
ZIP 94550-007
Phone: (925) 462-1755
Fax: (925) 201-6295

The NPI 1114253457 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 enumeration date for this NPI number is 10/21/2009 and was last updated on 2/19/2013.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		RN60118146	WASHINGTON	No
2	163W00000X	Registered Nurse		RN709195	CALIFORNIA	No
3	163WC1500X	Registered Nurse	Community Health	PHN74857	CALIFORNIA	No
4	363LA2200X	Nurse Practitioner	Adult Health	NP19114	CALIFORNIA	No
5	363LA2200X	Nurse Practitioner	Adult Health	AP60118946	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G8890350	OTHER		MEDICARE PTAN
2	9662180	MEDICAID	WASHINGTON

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: 11/14/2023

NPI Synchronization or Removal

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