Provider Demographics
NPI:1578683124
Name:SHUI, LINDA FUNG (NP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:FUNG
Last Name:SHUI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:HAWMING
Other - Last Name:FUNG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:112 LA CASA VIA STE 200
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3011
Mailing Address - Country:US
Mailing Address - Phone:925-933-4747
Mailing Address - Fax:925-935-3559
Practice Address - Street 1:112 LA CASA VIA STE 200
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3011
Practice Address - Country:US
Practice Address - Phone:925-933-4747
Practice Address - Fax:925-935-3559
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15506363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health