# MRS. LAN NGOC NGUYEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326472002
- **Gender:** F
- **Credential:** FNP/APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | A006245 | AR | Yes |
| 363L00000X | Nurse Practitioner | 5463 | CT | — |
| 363LF0000X | Family Nurse Practitioner | 005463 | CT | — |
| 364SP0200X | Pediatric Clinical Nurse Specialist | 5463 | CT | — |

## Other

- **Enumeration date:** 08/29/2013
- **Last updated:** 12/16/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004236130 | — | CT |
| 01 | — | 1326472002 | ANTHEM BCBS | CT |
| 01 | — | 561230 | CONNECTICARE | CT |