Individual
NINA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2823 FRESNO ST, FRESNO, CA 93721-1324
(559) 459-6000
(559) 498-8182
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN684823
CA
367500000X
Certified Registered Nurse Anesthetist
684823
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
NA95000507
CA
Other
Enumeration date
01/04/2016
Last updated
05/13/2016
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