Healthcare Provider Details

I. General information

NPI: 1457112427
Provider Name (Legal Business Name): TRANG THUY NGUYEN QUINTANA MSN, FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TRANG THUY NGUYEN

II. Dates (important events)

Enumeration Date: 01/17/2024
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8701 CUYAMACA ST
SANTEE CA
92071-4253
US

IV. Provider business mailing address

8701 CUYAMACA ST
SANTEE CA
92071-4253
US

V. Phone/Fax

Practice location:
  • Phone: 858-499-2715
  • Fax: 619-568-8080
Mailing address:
  • Phone: 858-499-2715
  • Fax: 619-568-8080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95028815
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: