Provider Demographics
NPI:1174077705
Name:YAN, CHUNLING
Entity type:Individual
Prefix:
First Name:CHUNLING
Middle Name:
Last Name:YAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 NW 51ST ST
Mailing Address - Street 2:APT. J178
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-4333
Mailing Address - Country:US
Mailing Address - Phone:571-244-3290
Mailing Address - Fax:
Practice Address - Street 1:4210 NW 37TH PL
Practice Address - Street 2:SUITE 200
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-7700
Practice Address - Country:US
Practice Address - Phone:352-872-5556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-11
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3731171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist