Provider Demographics
NPI:1679354237
Name:VUONG, HAI UY (AGACNP-BC, ACNPC-AG)
Entity Type:Individual
Prefix:
First Name:HAI
Middle Name:UY
Last Name:VUONG
Suffix:
Gender:M
Credentials:AGACNP-BC, ACNPC-AG
Other - Prefix:
Other - First Name:HARVEY
Other - Middle Name:
Other - Last Name:VUONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AGACNP-BC, ACNPC-AG
Mailing Address - Street 1:410 DIAMOND ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-2823
Mailing Address - Country:US
Mailing Address - Phone:415-860-8313
Mailing Address - Fax:
Practice Address - Street 1:900 HYDE ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-4806
Practice Address - Country:US
Practice Address - Phone:415-353-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95027629363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care