Provider Demographics
NPI:1508045881
Name:NGUYEN, BRITNEY JULIE (NP)
Entity Type:Individual
Prefix:
First Name:BRITNEY
Middle Name:JULIE
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:12900 PARK PLAZA DR STE 150
Mailing Address - Street 2:BRITNEY NGUYEN
Mailing Address - City:CERRITOS
Mailing Address - State:CA
Mailing Address - Zip Code:90703-9329
Mailing Address - Country:US
Mailing Address - Phone:714-514-6461
Mailing Address - Fax:714-547-4968
Practice Address - Street 1:1182 N EUCLID ST
Practice Address - Street 2:BRITNEY NGUYEN
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801-1900
Practice Address - Country:US
Practice Address - Phone:714-514-6461
Practice Address - Fax:714-547-4968
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-02
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CANP 17576363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA572072OtherREGISTERED NURSE LICENSE