Provider Demographics
NPI:1538603089
Name:ZHANG, QIANQIAN (MSN RN CPNP-PC)
Entity type:Individual
Prefix:
First Name:QIANQIAN
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:MSN RN CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2650 S BRISTOL ST STE 101
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92704-5751
Mailing Address - Country:US
Mailing Address - Phone:714-754-1444
Mailing Address - Fax:
Practice Address - Street 1:2650 S BRISTOL ST STE 103
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92704-5751
Practice Address - Country:US
Practice Address - Phone:714-754-1444
Practice Address - Fax:714-754-7009
Is Sole Proprietor?:No
Enumeration Date:2016-12-16
Last Update Date:2022-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN95125717163W00000X
OHRN.406747163W00000X
CANP95007519363L00000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse