Individual
MR. TRUONG VU NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
15200 COMMUNITY RD, GULFPORT, MS 39503-3085
(228) 575-7000
Mailing address
10156 LAKE FOREST DR, VANCLEAVE, MS 39565-2007
(228) 424-6522
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902102
MS
Other
Enumeration date
07/06/2017
Last updated
07/06/2017
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