Provider Demographics
NPI:1528196110
Name:GREDIG, QUYNH-NGA BUI (RN, MPH, MS)
Entity Type:Individual
Prefix:
First Name:QUYNH-NGA
Middle Name:BUI
Last Name:GREDIG
Suffix:
Gender:F
Credentials:RN, MPH, MS
Other - Prefix:
Other - First Name:QUYNH-NGA
Other - Middle Name:THI
Other - Last Name:BUI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, MPH, MS
Mailing Address - Street 1:2440 GRAND AVE
Mailing Address - Street 2:NORTH CENTRAL PUBLIC HEALTH CENTER
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92109
Mailing Address - Country:US
Mailing Address - Phone:858-490-4400
Mailing Address - Fax:
Practice Address - Street 1:2440 GRAND AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-4858
Practice Address - Country:US
Practice Address - Phone:858-490-4427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA647229163W00000X, 163WC0400X, 163WC1500X, 163WM0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WC0400XNursing Service ProvidersRegistered NurseCase Management
Not Answered163WC1500XNursing Service ProvidersRegistered NurseCommunity Health
Not Answered163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn