Individual
PAULINE NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
505 S NOLEN DR, SUITE A, SOUTHLAKE, TX 76092-9167
(817) 424-1525
(817) 424-3491
Mailing address
PO BOX 35629, DALLAS, TX 75235-0629
(214) 424-2200
(214) 231-2159
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
791946
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
AP120303
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
791946
RN LICENSE
TX
01
—
AP120303
APRN LICENSE
TX
Enumeration date
01/03/2012
Last updated
03/06/2015
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