Provider Demographics
NPI:1548508997
Name:ZHANG, HAN (RN, FNP-BC)
Entity type:Individual
Prefix:
First Name:HAN
Middle Name:
Last Name:ZHANG
Suffix:
Gender:F
Credentials:RN, FNP-BC
Other - Prefix:
Other - First Name:KRISTY
Other - Middle Name:
Other - Last Name:ZHANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, FNP-BC
Mailing Address - Street 1:33 W 46TH ST FL 4W
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10036-4103
Mailing Address - Country:US
Mailing Address - Phone:646-722-6214
Mailing Address - Fax:646-722-6214
Practice Address - Street 1:6318 AUSTIN ST
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-2923
Practice Address - Country:US
Practice Address - Phone:718-275-7860
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-18
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY658481163WP0200X
NY340325363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WP0200XNursing Service ProvidersRegistered NursePediatrics