Provider Demographics
NPI:1508848995
Name:NGUYEN, JULIE M (CPNP)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:M
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6403 LOST TIMBER LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77066-3258
Mailing Address - Country:US
Mailing Address - Phone:409-201-2523
Mailing Address - Fax:
Practice Address - Street 1:22513 TOMBALL PKWY
Practice Address - Street 2:SUITE 129
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-1540
Practice Address - Country:US
Practice Address - Phone:281-655-1500
Practice Address - Fax:281-655-1507
Is Sole Proprietor?:No
Enumeration Date:2005-11-19
Last Update Date:2011-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX632195363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics