Individual
PHUONG NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1500 MARKET ST, PHILADELPHIA, PA 19102-2100
(215) 680-1491
Mailing address
1500 MARKET ST, LM-500 WEST TOWER, PHILADELPHIA, PA 19102-2100
(215) 680-1491
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
SP015515
PA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
LG-0001256
DE
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP024773
PA
363LP2300X
Primary Care Nurse Practitioner
SP015515
PA
363LP2300X
Primary Care Nurse Practitioner
SP024773
PA
Other
Enumeration date
01/11/2016
Last updated
05/25/2022
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