Provider Demographics
NPI:1720835200
Name:FENG, YANG
Entity type:Individual
Prefix:
First Name:YANG
Middle Name:
Last Name:FENG
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 1:44625 WILLIAMS DR
Mailing Address - Street 2:
Mailing Address - City:NOVI
Mailing Address - State:MI
Mailing Address - Zip Code:48375-1447
Mailing Address - Country:US
Mailing Address - Phone:248-622-0282
Mailing Address - Fax:
Practice Address - Street 1:2301 SANDALWOOD CIR APT 212A
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-1306
Practice Address - Country:US
Practice Address - Phone:248-622-0282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-02
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker