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General NPI Number Information
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NPI Number | 1891115564
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Entity Type | Individual
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Provider Name | ANNY T WU D.O.
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Gender | Female
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 10/22/2019
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Provider Practice Location Address
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Address Line | 260 HOSPITAL DR
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City | UKIAH
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State | CA
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Zip | 95482
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Country | US
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Telephone | 707-463-7378
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Fax |
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Provider Business Mailing Address
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Address Line | 260 HOSPITAL DR
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City | UKIAH
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State | CA
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Zip | 95482-4568
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Country | US
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Telephone | 707-467-5344
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 02005148A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 20A17238
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License Number State | CA
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