Provider Demographics
NPI:1639621311
Name:NGUYEN, PAT THI (APRN, DNP-C)
Entity Type:Individual
Prefix:
First Name:PAT
Middle Name:THI
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:APRN, DNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3110 THOMAS AVE
Mailing Address - Street 2:711
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75204-2729
Mailing Address - Country:US
Mailing Address - Phone:405-414-6463
Mailing Address - Fax:
Practice Address - Street 1:3133 LEMMON AVE EAST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75204
Practice Address - Country:US
Practice Address - Phone:214-599-2108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP132049363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily