Individual
BAO-CHAU AUDREY T NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 HERNDON PKWY STE 200, HERNDON, VA 20170-5495
(703) 464-6094
(703) 689-8959
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101273934
VA
Other
Enumeration date
04/11/2017
Last updated
03/20/2023
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