MEDICARE: YA-HUI HSU FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WA2000X	Administrator Registered Nurse	NP-17549	CA

General Provider Information

NPI Number	:	1255568655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YA-HUI HSU FNP

Provider Business Mailing Address
First Line	:	150 W HEDDING ST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95110-1706
Country	:	US
Telephone Number	:	408-808-5226
Fax Number	:	408-808-5236

Provider Business Practice Location Address
First Line	:	150 W HEDDING ST
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95110-1706
Country	:	US
Telephone Number	:	408-808-5226
Fax Number	:	408-808-5236

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/12/2009
Last Update Date	:	06/12/2009

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