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

Mary Wang, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1851100184

Mary Wang, FNP-BC is a Nurse Practitioner in LA Mirada, California. Qualified in 2024, 2 years ago. Licensed in California and Washington.

Years since qualifying
2
Licensed in
CA, WA
In the registry since
2025
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

12675 La Mirada Blvd Ste 200
LA Mirada, CA 90638-2235
Phone: (818) 361-5437
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95031677 (CA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence AP70086494 (WA)

Record details

NPI number1851100184
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJanuary 2, 2025
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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