Provider Demographics
NPI:1992956734
Name:CHANG, LING JUI LING (CRNA)
Entity type:Individual
Prefix:MRS
First Name:LING
Middle Name:JUI LING
Last Name:CHANG
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:MRS
Other - First Name:JUI-LING
Other - Middle Name:
Other - Last Name:YANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:1613 N HARRISON PARKWAY
Mailing Address - Street 2:SUITE 200 MAILSTOP SH-9A
Mailing Address - City:SUNRISE
Mailing Address - State:FL
Mailing Address - Zip Code:33323-2896
Mailing Address - Country:US
Mailing Address - Phone:954-838-2371
Mailing Address - Fax:954-616-3866
Practice Address - Street 1:271 CAREW STREET
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01102
Practice Address - Country:US
Practice Address - Phone:413-748-9000
Practice Address - Fax:352-237-9808
Is Sole Proprietor?:No
Enumeration Date:2008-10-09
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9274709367500000X
MARN2275887367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered