Provider Demographics
NPI:1710436464
Name:NGUYEN, VO LANANH (FNP, RN)
Entity Type:Individual
Prefix:
First Name:VO LANANH
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:FNP, RN
Other - Prefix:
Other - First Name:LANA
Other - Middle Name:
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP, RN
Mailing Address - Street 1:9862 CHAPMAN AVE STE B
Mailing Address - Street 2:
Mailing Address - City:GARDEN GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:92841-2726
Mailing Address - Country:US
Mailing Address - Phone:818-571-5293
Mailing Address - Fax:
Practice Address - Street 1:9862 CHAPMAN AVE STE B
Practice Address - Street 2:
Practice Address - City:GARDEN GROVE
Practice Address - State:CA
Practice Address - Zip Code:92841-2726
Practice Address - Country:US
Practice Address - Phone:714-418-2040
Practice Address - Fax:714-418-2045
Is Sole Proprietor?:No
Enumeration Date:2016-09-22
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95005289363LF0000X
CA95023943163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse