Healthcare Provider Details

I. General information

NPI: 1831960269
Provider Name (Legal Business Name): WHITNEY VUONG APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2024
Last Update Date: 01/30/2025
Certification Date: 01/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 WITHERSPOON ST STE 100
PRINCETON NJ
08540-3227
US

IV. Provider business mailing address

490 VERNON CT
PISCATAWAY NJ
08854-6233
US

V. Phone/Fax

Practice location:
  • Phone: 609-497-2211
  • Fax:
Mailing address:
  • Phone: 510-996-8884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number26NR21767200
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ14876500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: