Provider Demographics
NPI:1114808375
Name:XING, IRIS (MSN, DNP)
Entity type:Individual
Prefix:
First Name:IRIS
Middle Name:
Last Name:XING
Suffix:
Gender:F
Credentials:MSN, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 CHANT
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92618-1427
Mailing Address - Country:US
Mailing Address - Phone:201-207-1092
Mailing Address - Fax:
Practice Address - Street 1:128 CHANT
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92618-1427
Practice Address - Country:US
Practice Address - Phone:201-207-1092
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife