Individual
IVY NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
3100 SUMMIT ST. 2ND FLOOR, SUITE #2549, OAKLAND, CA 94609
(510) 869-8865
(510) 869-6271
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 869-8865
(510) 869-6271
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP95017754
CA
Other
Enumeration date
12/14/2021
Last updated
02/25/2022
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