Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | AP3005258 | WA |
NPI | 1013077817 |
---|---|
Provider Name | Kuen-Fung Wu |
First Address | Bellevue, WA 98006-2319 |
Second Address | Seattle, WA 98104-2332 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
9626615 | (05) | WA |
S98077 | (02) | WA |