Provider Demographics
NPI:1891550042
Name:WU, SHU ZHEN
Entity Type:Individual
Prefix:
First Name:SHU
Middle Name:ZHEN
Last Name:WU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 ELLINGWOOD ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02120-3366
Mailing Address - Country:US
Mailing Address - Phone:857-222-0503
Mailing Address - Fax:
Practice Address - Street 1:17 ELLINGWOOD ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02120-3366
Practice Address - Country:US
Practice Address - Phone:857-222-0503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula