Healthcare Provider Details

I. General information

NPI: 1881534535
Provider Name (Legal Business Name): DR. YANING WU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/31/2026
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVE # R1046
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

4227 SAINT ANDREWS PL
BLUE ASH OH
45236-1057
US

V. Phone/Fax

Practice location:
  • Phone: 512-469-9619
  • Fax:
Mailing address:
  • Phone: 512-469-9619
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code247ZC0005X
TaxonomyClinical Laboratory Director (Non-physician)
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: