Individual provider · Type 1 NPI

Wannien Chang

Nurse Practitioner · Los Angeles, CA

NPI number 1316479629 Active

Practice location

121 N Beaudry Ave
Los Angeles, CA 90012-2009

Mailing address

841 S Sierra Vista Ave
Alhambra, CA 91801-4530

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X15627 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1316479629

Wannien Chang's National Provider Identifier is 1316479629, issued on Mar 28, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 4, 2018.