Provider Demographics
NPI:1518395425
Name:NGUYEN, VI HUYEN (FNP)
Entity Type:Individual
Prefix:
First Name:VI
Middle Name:HUYEN
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9191 WESTMINSTER AVE
Mailing Address - Street 2:SUITE 209
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92844-2751
Mailing Address - Country:US
Mailing Address - Phone:714-786-5794
Mailing Address - Fax:714-786-5799
Practice Address - Street 1:9191 WESTMINSTER AVE
Practice Address - Street 2:SUITE 209
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92844-2751
Practice Address - Country:US
Practice Address - Phone:714-786-5794
Practice Address - Fax:714-786-5799
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-31
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23661363LF0000X
CA815201163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CARN815201OtherMEDICAL
CACB207380Medicare PIN