Basic Information
| Provider Information | |||||||||
| NPI: | 1003143850 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | XU | ||||||||
| FirstName: | QING | ||||||||
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| Mailing Information | |||||||||
| Address1: | 325 BOBCAT PT | ||||||||
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| City: | LAFAYETTE | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800269073 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3035647914 | ||||||||
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| Practice Location | |||||||||
| Address1: | 9808 W CEDAR AVE | ||||||||
| Address2: | |||||||||
| City: | LAKEWOOD | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802261023 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3035647914 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/13/2009 | ||||||||
| LastUpdateDate: | 12/02/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LG0600X | APN.0993530-NP | CO | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Gerontology |
No ID Information.