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Organization
MN NURSE PRACTITIONERS IN PRACTICE
Active
Organization
MN NURSE PRACTITIONERS IN PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIMIE NGUYEN PMHNP (CEO)
(714) 837-4332
Entity
Organization
Contact information
Practice address
20311 SW BIRCH ST STE 100, NEWPORT BEACH, CA 92660-1778
(949) 345-5990
Mailing address
7377 LA PALMA AVE UNIT 6875, BUENA PARK, CA 90622-8163
(714) 837-4332
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/11/2024
Last updated
05/11/2024
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