Provider Demographics
NPI:1154594877
Name:WU, PEYMEI CAITLYN (PA-C)
Entity type:Individual
Prefix:
First Name:PEYMEI
Middle Name:CAITLYN
Last Name:WU
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13152 FERN HOLLOW CT
Mailing Address - Street 2:
Mailing Address - City:OAK HILL
Mailing Address - State:VA
Mailing Address - Zip Code:20171-3961
Mailing Address - Country:US
Mailing Address - Phone:703-568-0886
Mailing Address - Fax:
Practice Address - Street 1:3800 RESERVOIR ROAD NW
Practice Address - Street 2:2 PHC
Practice Address - City:WASHINGTON D.C.
Practice Address - State:DC
Practice Address - Zip Code:20007
Practice Address - Country:US
Practice Address - Phone:202-444-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-03
Last Update Date:2018-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA053325363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical