Provider Demographics
NPI:1538255005
Name:YU, WAI CHU (RNP)
Entity type:Individual
Prefix:MRS
First Name:WAI
Middle Name:CHU
Last Name:YU
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:MRS
Other - First Name:KATIE WAI
Other - Middle Name:CHU
Other - Last Name:YU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:611 S MILPITAS BLVD
Mailing Address - Street 2:
Mailing Address - City:MILPITAS
Mailing Address - State:CA
Mailing Address - Zip Code:95035-5473
Mailing Address - Country:US
Mailing Address - Phone:408-945-2933
Mailing Address - Fax:408-945-5013
Practice Address - Street 1:611 S MILPITAS BLVD
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-5473
Practice Address - Country:US
Practice Address - Phone:408-945-2933
Practice Address - Fax:408-945-5013
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA452549363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ20533ZMedicare ID - Type Unspecified
CAP28033Medicare UPIN