FAN WU NPI 1710783493

NPI Information

  • NPI: 1710783493
  • Provider Name: FAN WU
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2015 GRAND CONCOURSE
    BRONX, NY
    ZIP 10453
  • Phone: (347) 637-7380

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NPI Details

Fan Wu is a gerontology nurse practitioner in Bronx, NY with 2 years of experience. Fan Wu NPI is 1710783493. The provider is registered as an individual entity type.

The provider's business location address is:

2015 GRAND CONCOURSE
BRONX, NY
ZIP 10453-303
Phone: (347) 637-7380

The NPI 1710783493 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/22/2025 and was last updated on 2/22/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LG0600XNurse PractitionerGerontologyF411863-01NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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