Individual
ANDY KHUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
41889 FLORIDA AVE, HEMET, CA 92544-5042
(951) 652-8700
Mailing address
370 RANDY LN, PERRIS, CA 92571-2967
(951) 581-0723
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
821380
NV
363LF0000X
Family Nurse Practitioner
95007843
CA
Other
Enumeration date
11/14/2017
Last updated
01/22/2020
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