Individual
MARYSE-NOELLE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6241 WARNER AVE SPC 103, HUNTINGTON BEACH, CA 92647-5149
(714) 316-6547
Mailing address
6241 WARNER AVE SPC 103, HUNTINGTON BEACH, CA 92647-5149
(714) 316-6547
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
807717
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95012020
CA
Other
Enumeration date
09/06/2019
Last updated
01/24/2024
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