Healthcare Provider Details

I. General information

NPI: 1720623473
Provider Name (Legal Business Name): CATHERINE REN WU DNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE REN ROYALTY DNP

II. Dates (important events)

Enumeration Date: 11/16/2019
Last Update Date: 07/17/2024
Certification Date: 07/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 ELLIOTT AVE W STE 500
SEATTLE WA
98119-4292
US

IV. Provider business mailing address

5608 17TH AVE NW STE 1626
SEATTLE WA
98107-5232
US

V. Phone/Fax

Practice location:
  • Phone: 206-360-5545
  • Fax: 425-640-9600
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN60745213
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP61065797
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: