Anan, Wendy Wan
Anan, Wendy Wan is an individual health care provider with primary practice located at 24920 104Th Ave Se , Kent WA 98030-6443. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Anan, Wendy Wan can be contacted via phone (425) 690-3544.Contact Information
Primary practice address
24920 104Th Ave Se
Kent WA 98030-6443
Phone: (425) 690-3544
Fax: (425) 690-9444
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | P1616 | Texas |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | P1616 | Texas |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD60614954 | Washington |
Profile Details
| NPI number | 1669673448 |
|---|---|
| LBN Legal business name | Anan, Wendy Wan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2007 |
| Last updated | Oct 4th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669673448 | NPPES |
| Washington | Other | 60614954 | WA MEDICAL LICENSE |
| Washington | MEDICAID | 2062995 | WA MEDICAL LICENSE |
| Washington | Other | P1616 | WA MEDICAL LICENSE |
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