Provider Demographics
NPI:1568069557
Name:NGUYEN, HUONG (RD, CPT)
Entity Type:Individual
Prefix:
First Name:HUONG
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:RD, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2262 AUDREY MANOR CT
Mailing Address - Street 2:
Mailing Address - City:WALDORF
Mailing Address - State:MD
Mailing Address - Zip Code:20603-4918
Mailing Address - Country:US
Mailing Address - Phone:301-751-0104
Mailing Address - Fax:
Practice Address - Street 1:2262 AUDREY MANOR CT
Practice Address - Street 2:
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-4918
Practice Address - Country:US
Practice Address - Phone:301-751-0104
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-03
Last Update Date:2020-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered