Individual
DUY-TAN NGO
Active
Individual
DUY-TAN NGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
335577
NC
363LP2300X
Primary Care Nurse Practitioner
Primary
335577
NC
Other
Enumeration date
06/03/2026
Last updated
06/03/2026
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