Individual
MS. PHUONG H NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(410) 328-3929
(410) 328-6896
Mailing address
PO BOX 62602, BALTIMORE, MD 21264-2602
(410) 328-3929
(410) 328-6896
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R170127
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
417523900
—
MD
01
—
954172-01 & 02
BLUE CROSS/BLUE SHIELD
MD
01
—
S053-0067
BLUE CROSS/BLUE SHIELD - REGIONAL
MD
Enumeration date
06/01/2009
Last updated
05/30/2012
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