Provider Demographics
NPI:1235846213
Name:NGUYEN, ALEXANDER AN QUOC (MSN, APRN, AGPCNP-BC)
Entity Type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:AN QUOC
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:MSN, APRN, AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4208 EVERGREEN LN STE 214
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3254
Mailing Address - Country:US
Mailing Address - Phone:703-642-6633
Mailing Address - Fax:
Practice Address - Street 1:4208 EVERGREEN LN STE 214
Practice Address - Street 2:
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3254
Practice Address - Country:US
Practice Address - Phone:703-642-6633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024185156363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner