Provider Demographics
NPI:1447132170
Name:LIAO, ZIXI
Entity type:Individual
Prefix:
First Name:ZIXI
Middle Name:
Last Name:LIAO
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 1:14 PERKINS SQ APT 3
Mailing Address - Street 2:
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-1719
Mailing Address - Country:US
Mailing Address - Phone:316-305-3078
Mailing Address - Fax:000-000-0000
Practice Address - Street 1:14 PERKINS SQ APT 3
Practice Address - Street 2:
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-1719
Practice Address - Country:US
Practice Address - Phone:316-305-3078
Practice Address - Fax:000-000-0000
Is Sole Proprietor?:No
Enumeration Date:2025-07-23
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2353423163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0200XNursing Service ProvidersRegistered NurseOncology