Doctor Name: | ZHONGHUA XIE |
NPI Number: | 1720337694 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | GNP |
License Number: | 4932-33 |
Business Practice Address: | 1202 5th Grant Blvd W Wabasha, MN - 559811115 |
Business Phone Number: | 6515654571 |
Business Fax Number: | 6515654818 |
Mailing Address: | 1202 5th Grant Blvd W, P.o. Box 30 WABASHA |
State: | MN |
Postal Code: | 559811115 |
Phone Number: | 6515654571 |
Fax Number: | 6515654818 |
NPI Enumeration Date: | 09/06/2012 |
NPI Last Update Date: | 09/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LG0600X |
License Number: | 4932-33 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Gerontology |
Taxonomy Definition: |