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NPI Code Detail

MEDICARE: MY VAN LUU THI NGUYEN MSN-APRN-FNP-C

MEDICARE:   MY VAN LUU THI NGUYEN  MSN-APRN-FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner95018124CA

General Provider Information

NPI Number : 1598383689
Entity Type Code : Individual
Provider Name (Legal Business Name) : MY VAN LUU THI NGUYEN MSN-APRN-FNP-C
Provider Business Mailing Address
First Line : 6155 CORNERSTONE CT E STE 220
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-4737
Country : US
Telephone Number : 858-458-2993
Fax Number :
Provider Business Practice Location Address
First Line : 6155 CORNERSTONE CT E STE 220
Second Line :
City : SAN DIEGO
State : CA
Zip : 92121-4737
Country : US
Telephone Number : 619-677-0856
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/06/2020
Last Update Date : 08/09/2022

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Directions to “ MY VAN LUU THI NGUYEN MSN-APRN-FNP-C” Practice Location

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