Individual
NICOLE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3600
Mailing address
11338 WESTBROOK MILL LN UNIT 103, FAIRFAX, VA 22030-5670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001313062
VA
Other
Enumeration date
09/03/2025
Last updated
09/05/2025
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