Provider Demographics
NPI:1720623473
Name:WU, CATHERINE REN (DNP, PMHNP-BC)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:REN
Last Name:WU
Suffix:
Gender:F
Credentials:DNP, PMHNP-BC
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:REN
Other - Last Name:ROYALTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:5608 17TH AVE NW STE 1626
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-5232
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 ELLIOTT AVE W STE 500
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-4292
Practice Address - Country:US
Practice Address - Phone:206-360-5545
Practice Address - Fax:425-640-9600
Is Sole Proprietor?:No
Enumeration Date:2019-11-16
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60745213163W00000X
WAAP61065797363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse