Provider Demographics
NPI:1194719617
Name:HANG, MAY YANG (MSN FNP)
Entity type:Individual
Prefix:
First Name:MAY
Middle Name:YANG
Last Name:HANG
Suffix:
Gender:F
Credentials:MSN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9335 MAJESTIC VIEW DRIVE
Mailing Address - Street 2:
Mailing Address - City:FENTON
Mailing Address - State:MI
Mailing Address - Zip Code:48430-1231
Mailing Address - Country:US
Mailing Address - Phone:810-623-4997
Mailing Address - Fax:
Practice Address - Street 1:8468 TAMARACK BAY
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-3738
Practice Address - Country:US
Practice Address - Phone:866-389-2727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-12
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1419441363LF0000X
MI4704252639363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN372128100Medicaid
MIP34780004Medicare PIN
Q21889Medicare UPIN
MN372128100Medicaid