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NPI Code Detail

MEDICARE: WILLIAM NGUYEN FNP-BC

MEDICARE:   WILLIAM  NGUYEN  FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner95020597CA

General Provider Information

NPI Number : 1689316523
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM NGUYEN FNP-BC
Provider Business Mailing Address
First Line : 2527 E OMEGA AVE
Second Line :
City : ANAHEIM
State : CA
Zip : 92806-5608
Country : US
Telephone Number : 714-310-8871
Fax Number :
Provider Business Practice Location Address
First Line : 1974 SANTA FE AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90810-4064
Country : US
Telephone Number : 562-595-9799
Fax Number : 562-595-8884
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2022
Last Update Date : 04/11/2022

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Directions to “ WILLIAM NGUYEN FNP-BC” Practice Location

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