Individual
VIVI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
47 PRESIDENTIAL DR, ENGLEWOOD, NJ 07631-3941
(201) 835-3185
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NF00054900
NJ
163W00000X
Registered Nurse
26NR13771000
NJ
163W00000X
Registered Nurse
764102
NY
363LA2200X
Adult Health Nurse Practitioner
F309131
NY
363LG0600X
Gerontology Nurse Practitioner
Primary
26NJ00927100
NJ
Other
Enumeration date
05/08/2020
Last updated
05/08/2020
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