Provider Demographics
NPI:1760071864
Name:NGUYEN, ANNALYNN N (DNP-FNP)
Entity Type:Individual
Prefix:
First Name:ANNALYNN
Middle Name:N
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:DNP-FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7007 N SERRANO
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75054-6766
Mailing Address - Country:US
Mailing Address - Phone:682-556-9744
Mailing Address - Fax:
Practice Address - Street 1:3475 COLLINS BLVD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-3621
Practice Address - Country:US
Practice Address - Phone:972-530-3632
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-13
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1016398363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily