Individual
BROOKE PRESTRIDGE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 KILDAIRE PARK DR, CARY, NC 27518-8162
(919) 235-6505
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
2020-00914
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164957502
—
NC
Enumeration date
04/24/2017
Last updated
10/23/2024
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