Healthcare Provider Details

I. General information

NPI: 1710041371
Provider Name (Legal Business Name): WEI-FEN DEN NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 S BASCOM AVE NEONATOLOGY DEPT
SAN JOSE CA
95128-2604
US

IV. Provider business mailing address

751 S BASCOM AVE NEONATOLOGY
SAN JOSE CA
95128-2604
US

V. Phone/Fax

Practice location:
  • Phone: 408-885-5420
  • Fax:
Mailing address:
  • Phone: 408-885-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0005X
TaxonomyCritical Care Neonatal Nurse Practitioner
License NumberRN354257
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: