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NPI Code Detail

MEDICARE: CHAN WU FNP

MEDICARE: CHAN WU FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAP131213TX
2363L00000XNurse PractitionerAP60914418WA
3363LF0000XFamily Nurse Practitioner209011522IL
4363LF0000XFamily Nurse PractitionerAP60914418WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073926309
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAN WU FNP
Provider Business Mailing Address
First Line : 1200 12TH AVE S STE 901
Second Line :
City : SEATTLE
State : WA
Zip : 98144-2712
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2601 SW KENYON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98126-3562
Country : US
Telephone Number : 206-923-2809
Fax Number : 206-973-8660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2014
Last Update Date : 10/06/2025

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Directions to “ CHAN WU FNP” Practice Location

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