Individual provider · Type 1 NPI

Chung Wai Siu

Nurse Practitioner · Atlanta, GA

NPI number 1508699414 Active

Practice location

550 Peachtree St NE
Atlanta, GA 30308-2212

Mailing address

2551 Avery Park Cir
Atlanta, GA 30360-2579

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN240432 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1508699414

Chung Wai Siu's National Provider Identifier is 1508699414, issued on Aug 26, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Atlanta, GA. The record was last updated on May 9, 2025.