Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fan Wu

Individual provider Gerontology Nurse Practitioner · NPI 1710783493

Fan Wu is a Nurse Practitioner in Bronx, New York. Qualified in 2024, 2 years ago. Practices with Shakespeare Operating LLC, a 137-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2025

Practice location Address checks out

2015 Grand Concourse
Bronx, NY 10453-4303
Phone: (347) 637-7380
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence F411863-01 (NY)

Record details

NPI number1710783493
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedFebruary 22, 2025
Last updated in NPPESFebruary 22, 2025
Certification dateFebruary 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Shakespeare Operating Llc — 137 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Bronx