Shiyue Sophie Wang
Nurse Practitioner in Redmond, WA. Individual provider (NPI-1).
NPI number1174199459
StatusActive
Last updated in NPPESDec 10, 2025
Details
- NPI
- 1174199459
- Entity type
- Individual (NPI-1)
- Name
- Shiyue Sophie Wang
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 27, 2021
- Certification date
- Dec 10, 2025
- Last updated
- Dec 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | AP70026402 | WA | Yes |
| 171R00000X | Interpreter | – | – | |
| 163W00000X | Registered Nurse | RN61349976 | WA |
Other names
- Shiyue Sophie Wang (Other Name)
Practice location
12295 138th Pl Ne Unit 105Redmond, WA 98052-1422
Phone 402-609-9372
Mailing address
12295 138th Pl Ne Unit 105Redmond, WA 98052-1422
Phone 402-609-9372
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