Provider Demographics
NPI:1619344868
Name:NGUYEN, THUY DU (CPNP-PC)
Entity Type:Individual
Prefix:
First Name:THUY
Middle Name:DU
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2110 N. BELLFLOWER BLVD.
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90815
Mailing Address - Country:US
Mailing Address - Phone:562-346-2222
Mailing Address - Fax:562-546-8210
Practice Address - Street 1:2110 N. BELLFLOWER BLVD.
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815
Practice Address - Country:US
Practice Address - Phone:562-346-2222
Practice Address - Fax:562-546-8210
Is Sole Proprietor?:No
Enumeration Date:2015-08-24
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95002869363L00000X
CA95002869363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics