Healthcare Provider Details

I. General information

NPI: 1750245494
Provider Name (Legal Business Name): WAN-LING WU DNP, APRN, CWCN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 BROADWAY ST
REDWOOD CITY CA
94063-3123
US

IV. Provider business mailing address

1259 EL CAMINO REAL
MENLO PARK CA
94025-4208
US

V. Phone/Fax

Practice location:
  • Phone: 650-721-8800
  • Fax:
Mailing address:
  • Phone: 650-880-2121
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number2005464774
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: