Provider Demographics
NPI:1427419423
Name:HUYNH-NGUYEN, ANH P (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ANH
Middle Name:P
Last Name:HUYNH-NGUYEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MRS
Other - First Name:ANH
Other - Middle Name:P
Other - Last Name:HUYNH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:FNP
Mailing Address - Street 1:2 GOOSE NECK LN
Mailing Address - Street 2:
Mailing Address - City:SICKLERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08081-4867
Mailing Address - Country:US
Mailing Address - Phone:185-672-8813
Mailing Address - Fax:
Practice Address - Street 1:2 GOOSE NECK LN
Practice Address - Street 2:
Practice Address - City:SICKLERVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08081-4867
Practice Address - Country:US
Practice Address - Phone:185-672-8813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-17
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00624900363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily