Provider Demographics
NPI:1932665734
Name:ZHAO, YUAN (FNP-C)
Entity type:Individual
Prefix:
First Name:YUAN
Middle Name:
Last Name:ZHAO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2760 W 1ST ST STE 20
Mailing Address - Street 2:
Mailing Address - City:PROSPER
Mailing Address - State:TX
Mailing Address - Zip Code:75078-8145
Mailing Address - Country:US
Mailing Address - Phone:469-803-0849
Mailing Address - Fax:855-576-4804
Practice Address - Street 1:2760 W 1ST ST STE 20
Practice Address - Street 2:
Practice Address - City:PROSPER
Practice Address - State:TX
Practice Address - Zip Code:75078-8145
Practice Address - Country:US
Practice Address - Phone:469-803-0849
Practice Address - Fax:855-576-4804
Is Sole Proprietor?:No
Enumeration Date:2019-02-16
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP140185363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily