Individual
HOA Q NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7850 BRIER CREEK PKWY STE 220, RALEIGH, NC 27617-8900
(919) 578-7008
(919) 578-4886
Mailing address
4705 UNIVERSITY DR BLDG 700, DURHAM, NC 27707-3489
(919) 237-1337
(919) 237-1625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
001002785
NC
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
001002785
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001002785
LICENSE
NC
01
—
1942508767
INDIVIDUAL NPI
NC
Enumeration date
03/02/2011
Last updated
12/19/2024
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