Healthcare Provider Details

I. General information

NPI: 1184026957
Provider Name (Legal Business Name): THANH-XUAN VU LE CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: THANH-XUAN THI VU

II. Dates (important events)

Enumeration Date: 09/23/2014
Last Update Date: 09/30/2024
Certification Date: 09/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7050 GALL BLVD
ZEPHYRHILLS FL
33541-1347
US

IV. Provider business mailing address

7050 GALL BLVD
ZEPHYRHILLS FL
33541-1347
US

V. Phone/Fax

Practice location:
  • Phone: 813-782-8761
  • Fax:
Mailing address:
  • Phone: 813-782-8761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberARNP 9246908
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberARNP9246908
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberAPRN9246908
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: