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NPI Code Detail

MEDICARE: WEN-CHI FAN APRN

MEDICARE: WEN-CHI FAN APRN
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
1363L00000XNurse PractitionerAP60138157WA
2163W00000XRegistered NurseRN00174327WA

General Provider Information

NPI Number : 1528380227
Entity Type Code : Individual
Provider Name (Legal Business Name) : WEN-CHI FAN APRN
Provider Business Mailing Address
First Line : 522 W RIVERSIDE AVE STE N
Second Line :
City : SPOKANE
State : WA
Zip : 99201-0581
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 21907 64TH AVE W STE 200
Second Line :
City : MOUNTLAKE TERRACE
State : WA
Zip : 98043-6200
Country : US
Telephone Number : 425-578-5144
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2010
Last Update Date : 09/24/2025

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Directions to “ WEN-CHI FAN APRN” Practice Location

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