Individual
KATARINA MARIE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
8700 BEVERLY BLVD, WEST HOLLYWOOD, CA 90048-1804
(310) 423-5000
Mailing address
4140 W 190TH ST, TORRANCE, CA 90504-5513
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95012522
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95012522
CALIFORNIA BOARD OF REGISTERED NURSING - FURNISHING
CA
01
—
F06193034
AMERICAN ACADEMY OF NURSE PRACTITIONERS
CA
Enumeration date
10/02/2019
Last updated
08/21/2020
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