Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | RN1048464 | DC |
NPI | 1033716311 |
---|---|
Provider Name | Chi Wing Pang |
First Address | Arlington, VA 22209-4308 |
Second Address | Washington, DC 20010-3017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/10/2020 |
Last Update Date | 03/12/2020 |