Individual
MS. TIFFANY THAO NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
7895 WESTMINSTER BLVD, WESTMINSTER, CA 92683-4043
(714) 379-4797
Mailing address
14712 DANBOROUGH RD, TUSTIN, CA 92780-6711
(714) 310-4122
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
19984
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19984
NURSE PRACTITIONER
CA
Enumeration date
10/25/2021
Last updated
10/25/2021
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