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NPI Code Detail

MEDICARE: ISAURA WU RN

MEDICARE:   ISAURA  WU  RN
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
1163WH0200XHome Health Registered Nurse881152NV

General Provider Information

NPI Number : 1912704735
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISAURA WU RN
Provider Business Mailing Address
First Line : 1812 GLENWILLOW DR
Second Line :
City : LAS VEGAS
State : NV
Zip : 89117-5342
Country : US
Telephone Number : 206-683-8445
Fax Number :
Provider Business Practice Location Address
First Line : 5888 W SUNSET RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89118-3452
Country : US
Telephone Number : 702-382-3030
Fax Number : 702-382-9394
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2025
Last Update Date : 02/28/2025

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