Provider Demographics
NPI:1861685711
Name:WU, VIVIEN SIAO-HUEI (PA)
Entity Type:Individual
Prefix:
First Name:VIVIEN
Middle Name:SIAO-HUEI
Last Name:WU
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24788 FOOTHILLS DR N
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-9171
Mailing Address - Country:US
Mailing Address - Phone:303-526-1841
Mailing Address - Fax:
Practice Address - Street 1:501 S CHERRY ST
Practice Address - Street 2:SUITE 700
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-1325
Practice Address - Country:US
Practice Address - Phone:303-321-2828
Practice Address - Fax:303-329-7422
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO965363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical