MEDICARE: ALLISON CHI-TSEN WU

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	171400000X	Health & Wellness Coach	A-4046601

General Provider Information

NPI Number	:	1730993221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON CHI-TSEN WU

Provider Business Mailing Address
First Line	:	1604 Q ST NW APT 109
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-6304
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1604 Q ST NW APT 109
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-6304
Country	:	US
Telephone Number	:	703-609-8632
Fax Number	:

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

Provider Enumeration Date	:	02/04/2025
Last Update Date	:	02/04/2025

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Directions to “ ALLISON CHI-TSEN WU ” Practice Location

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