Individual provider · Type 1 NPI

So-Fong Wong, FNP, CNS, CDE

Family Nurse Practitioner · Pasadena, TX

NPI number 1043290703 Active

Practice location

5050 Crenshaw Rd, Ste 100
Pasadena, TX 77505-3138

Fax (832) 399-4110

Specialties and licenses

TaxonomyCodeLicense
Diabetes Educator Registered Nurse 163WD0400X21210407 (TX)
Adult Health Clinical Nurse Specialist 364SA2200XAP110586 (TX)
Family Nurse Practitioner Primary 363LF0000XAP110586 (TX)
Family Nurse Practitioner 363LF0000X654824 (TX)
Adult Health Clinical Nurse Specialist 364SA2200X654824 (TX)

Family Nurse Practitioner: Definition to come...

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About NPI 1043290703

So-Fong Wong, FNP, CNS, CDE's National Provider Identifier is 1043290703, issued on Jan 19, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pasadena, TX. The record was last updated on Aug 5, 2016.