Healthcare Provider Details

I. General information

NPI: 1871419499
Provider Name (Legal Business Name): SHURU WU RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 GILBRETH RD
BURLINGAME CA
94010-1317
US

IV. Provider business mailing address

1836 MIDNIGHT CIR
SAN JOSE CA
95133-1792
US

V. Phone/Fax

Practice location:
  • Phone: 888-500-1886
  • Fax:
Mailing address:
  • Phone: 415-286-8006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number95452111
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: