Individual
MISS HEATHER DAYNA NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
19066 MAGNOLIA ST, HUNTINGTON BEACH, CA 92646-2232
(714) 968-0068
Mailing address
19066 MAGNOLIA ST, HUNTINGTON BEACH, CA 92646-2232
(714) 968-0068
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
737953
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
95003406
CA
Other
Enumeration date
10/03/2015
Last updated
08/20/2019
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