Individual
KAITLYN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
5 SUMMIT AVE STE 105, HACKENSACK, NJ 07601-1271
(201) 880-8072
Mailing address
134 GATES AVE, JERSEY CITY, NJ 07305-2409
(610) 428-8357
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26NJ00901200
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00901200
NJ
Other
Enumeration date
02/13/2019
Last updated
05/31/2022
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