Provider Demographics
NPI:1154550986
Name:WU, YVONNE YANCHIU YU (MSN, DNP, FNP-C)
Entity type:Individual
Prefix:
First Name:YVONNE
Middle Name:YANCHIU YU
Last Name:WU
Suffix:
Gender:F
Credentials:MSN, DNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 SILVERA AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90803-2222
Mailing Address - Country:US
Mailing Address - Phone:562-305-2726
Mailing Address - Fax:
Practice Address - Street 1:1100 W TOWN AND COUNTRY RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-4600
Practice Address - Country:US
Practice Address - Phone:714-944-0644
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-14
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP 18687261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care