MEDICARE: WENLI MUI PA-C

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	363A00000X	Physician Assistant	0110007865	VA
2	363AS0400X	Surgical Physician Assistant	12836	MN
3	363AS0400X	Surgical Physician Assistant	11066	AZ

General Provider Information

NPI Number	:	1770050072
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENLI MUI PA-C

Provider Business Mailing Address
First Line	:	3838 NORTH CAMPBELL AVE STE F
Second Line	:	2ND FLOOR
City	:	TUCSON
State	:	AZ
Zip	:	85719-1454
Country	:	US
Telephone Number	:	520-694-8888
Fax Number	:

Provider Business Practice Location Address
First Line	:	3838 NORTH CAMPBELL AVE STE F
Second Line	:	2ND FLOOR
City	:	TUCSON
State	:	AZ
Zip	:	85719-1454
Country	:	US
Telephone Number	:	520-694-8888
Fax Number	:

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

Provider Enumeration Date	:	10/25/2018
Last Update Date	:	07/07/2025

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