Individual
AIVY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-6850
(682) 885-6799
Mailing address
PO BOX 733784, DALLAS, TX 75373-3784
(682) 885-6483
(682) 885-3113
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP145884
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
AP145884
TX
Other
Enumeration date
05/11/2020
Last updated
07/03/2023
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