Provider Demographics
NPI:1104069392
Name:SHEU, WEI-JEN (ACNP)
Entity type:Individual
Prefix:
First Name:WEI-JEN
Middle Name:
Last Name:SHEU
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2735 S SEAN DR
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85286-4330
Mailing Address - Country:US
Mailing Address - Phone:480-275-7944
Mailing Address - Fax:480-745-1800
Practice Address - Street 1:655 S DOBSON RD STE A108
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224
Practice Address - Country:US
Practice Address - Phone:480-275-7944
Practice Address - Fax:480-745-1800
Is Sole Proprietor?:No
Enumeration Date:2009-04-17
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN102998163W00000X
AZAP3428363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ457934Medicaid
Z131952Medicare PIN