Healthcare Provider Details

I. General information

NPI: 1780296095
Provider Name (Legal Business Name): VIRGINIA WU FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2020
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1760 OLD MEADOW RD STE 305
MC LEAN VA
22102-4330
US

IV. Provider business mailing address

5235 OVERPASS RD
BUDA TX
78610-9750
US

V. Phone/Fax

Practice location:
  • Phone: 703-717-7278
  • Fax: 703-717-7279
Mailing address:
  • Phone: 512-324-7468
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1009662
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024179760
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: