Liu, Qiaorong
Liu, Qiaorong is an individual health care provider with primary practice located at 1716 Hartford St , Lafayette IN 47904-2138. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Liu, Qiaorong can be contacted via phone (765) 742-1567.Contact Information
Primary practice address
1716 Hartford St
Lafayette IN 47904-2138
Phone: (765) 742-1567
Fax: (765) 742-2750
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 28225212A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 28225212A | Indiana |
Profile Details
| NPI number | 1851812747 |
|---|---|
| LBN Legal business name | Liu, Qiaorong |
| Credentials | AGPCNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 29th, 2017 |
| Last updated | Jul 29th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851812747 | NPPES |
| Indiana | MEDICAID | 300005827 |
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