Provider Demographics
NPI:1508057944
Name:CRISTIANI-NGUYEN, EMMA THERESA (RN, BSN, MSN, FNP-C)
Entity Type:Individual
Prefix:MS
First Name:EMMA
Middle Name:THERESA
Last Name:CRISTIANI-NGUYEN
Suffix:
Gender:F
Credentials:RN, BSN, MSN, FNP-C
Other - Prefix:MS
Other - First Name:E.
Other - Middle Name:TEARRAH
Other - Last Name:CRISTIANI-NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN, BSN, MSN, FNP-C
Mailing Address - Street 1:7900 CARRLEIGH PKWY
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1216
Mailing Address - Country:US
Mailing Address - Phone:703-451-0230
Mailing Address - Fax:
Practice Address - Street 1:7900 CARRLEIGH PKWY
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-1216
Practice Address - Country:US
Practice Address - Phone:703-451-0230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-08
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024167497363LF0000X
VA0001158319163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse