Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ling Fan

Individual provider Acute Care Nurse Practitioner · NPI 1003191883

Ling Fan is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2009, 17 years ago. Practices with Trinity Health Mid-Atlantic Medical Group, a 357-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
17
Licensed in
NJ, PA
In the registry since
2011
Specialties on file
2
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Practice location Address checks out

111 S 11th St Gibbon Bldg Ste 6270
Philadelphia, PA 19107-4824
Phone: (215) 955-8304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence SP011398 (PA)
Nurse Practitioner Taxonomy 363L00000X · Licence 26NJ00412700 (NJ)

Record details

NPI number1003191883
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 12, 2011
Last updated in NPPESMarch 7, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Trinity Health Mid-Atlantic Medical Group — 357 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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