Healthcare Provider Details

I. General information

NPI: 1134815384
Provider Name (Legal Business Name): ALINA NGOC TRINH NGUYEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 MANNING DR RM B132
CHAPEL HILL NC
27514-4221
US

IV. Provider business mailing address

170 MANNING DR RM B132
CHAPEL HILL NC
27514-4221
US

V. Phone/Fax

Practice location:
  • Phone: 919-445-0205
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRTL26-1198
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number0116038514
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: