Provider Demographics
NPI:1679293815
Name:VO, QUYEN THUY (FNP)
Entity Type:Individual
Prefix:MISS
First Name:QUYEN
Middle Name:THUY
Last Name:VO
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 1:2300 OAK RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:OAK RIDGE
Mailing Address - State:NC
Mailing Address - Zip Code:27310-9701
Mailing Address - Country:US
Mailing Address - Phone:336-644-6384
Mailing Address - Fax:
Practice Address - Street 1:2300 OAK RIDGE RD
Practice Address - Street 2:
Practice Address - City:OAK RIDGE
Practice Address - State:NC
Practice Address - Zip Code:27310-9701
Practice Address - Country:US
Practice Address - Phone:336-644-6384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-29
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2022026211363LF0000X
NC5017096363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1234OtherNONE