Individual
KYLA WYATT NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, LNP, FNP-BC
Contact information
Practice address
6136 BRANDON AVE, SPRINGFIELD, VA 22150-2610
(703) 866-3131
Mailing address
4011 GALLOWS RD, ANNANDALE, VA 22003-1858
(301) 919-1909
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024176891
VA
Other
Enumeration date
11/09/2018
Last updated
11/19/2018
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