Provider Demographics
NPI:1699175737
Name:NGUYEN, FAITH W (CRNP)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:W
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 CITIZENS WAY
Mailing Address - Street 2:STE 402
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-6026
Mailing Address - Country:US
Mailing Address - Phone:410-693-7401
Mailing Address - Fax:
Practice Address - Street 1:50 CITIZENS WAY
Practice Address - Street 2:STE 402
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-6026
Practice Address - Country:US
Practice Address - Phone:301-774-2991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-26
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR186763363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily