Individual
KATHERINE A NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1155 LAWRENCEVILLE SUWANEE RD, LAWRENCEVILLE, GA 30043-5425
(678) 442-0205
Mailing address
1309 FAIRCREST WAY, SUWANEE, GA 30024-8663
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
210900
GA
Other
Enumeration date
02/28/2019
Last updated
04/19/2020
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