Healthcare Provider Details

I. General information

NPI: 1437928132
Provider Name (Legal Business Name): ANNIE NGUYEN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/22/2023
Last Update Date: 12/22/2023
Certification Date: 12/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7263 ARLINGTON BLVD STE F
FALLS CHURCH VA
22042-3219
US

IV. Provider business mailing address

6311 PIONEER DR
SPRINGFIELD VA
22150-1623
US

V. Phone/Fax

Practice location:
  • Phone: 703-775-0777
  • Fax:
Mailing address:
  • Phone: 703-927-9394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024188836
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: