Individual
MRS. ANNE MERIELLE EBOL NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
14330 CULVER DR, IRVINE, CA 92604-0303
(949) 559-8129
Mailing address
14330 CULVER DR, IRVINE, CA 92604-0303
(949) 559-8129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95014018
CA
Other
Enumeration date
03/17/2020
Last updated
10/22/2021
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