Provider Demographics
NPI:1174791495
Name:CHENG-LO, NINA LAN (RN, MSN, CPNP)
Entity type:Individual
Prefix:MRS
First Name:NINA
Middle Name:LAN
Last Name:CHENG-LO
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Gender:F
Credentials:RN, MSN, CPNP
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Mailing Address - Street 1:425 UNIVERSITY BLVD
Mailing Address - Street 2:STE 130
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78665-1053
Mailing Address - Country:US
Mailing Address - Phone:512-509-5437
Mailing Address - Fax:512-509-3507
Practice Address - Street 1:425 UNIVERSITY BLVD
Practice Address - Street 2:STE 130
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78665-1053
Practice Address - Country:US
Practice Address - Phone:512-509-5437
Practice Address - Fax:512-509-3507
Is Sole Proprietor?:No
Enumeration Date:2008-02-20
Last Update Date:2011-03-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TX690977363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics