Healthcare Provider Details

I. General information

NPI: 1326938705
Provider Name (Legal Business Name): AIMEE BAOTRAN NGUYENDINH FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2025
Last Update Date: 07/11/2025
Certification Date: 07/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327 CORONADO AVE APT 1
LONG BEACH CA
90814-8141
US

IV. Provider business mailing address

327 CORONADO AVE APT 1
LONG BEACH CA
90814-8141
US

V. Phone/Fax

Practice location:
  • Phone: 240-578-0295
  • Fax:
Mailing address:
  • Phone: 240-578-0295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95036015
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: