Healthcare Provider Details

I. General information

NPI: 1073444212
Provider Name (Legal Business Name): DIANA NGUYEN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4000 ROWLING MEWS DR APT 201
GARNER NC
27529-5538
US

IV. Provider business mailing address

4000 ROWLING MEWS DR APT 201
GARNER NC
27529-5538
US

V. Phone/Fax

Practice location:
  • Phone: 408-912-6059
  • Fax:
Mailing address:
  • Phone: 408-912-6059
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number373911
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: