Individual
ATHENA THU VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
801 N TUSTIN AVE STE 702, SANTA ANA, CA 92705-3611
(714) 568-6600
Mailing address
10641 TAMMY ST, CYPRESS, CA 90630-4952
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
95009551
CA
Other
Enumeration date
07/23/2018
Last updated
01/13/2023
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