Provider Demographics
NPI:1790715258
Name:NGUYEN-DANG, TU
Entity Type:Individual
Prefix:MRS
First Name:TU
Middle Name:
Last Name:NGUYEN-DANG
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:TU
Other - Middle Name:NGOC
Other - Last Name:DANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RD
Mailing Address - Street 1:9459 CLOVERDALE CT
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-3458
Mailing Address - Country:US
Mailing Address - Phone:703-913-6136
Mailing Address - Fax:
Practice Address - Street 1:7297 LEE HWY
Practice Address - Street 2:F
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22042-1738
Practice Address - Country:US
Practice Address - Phone:703-241-2883
Practice Address - Fax:703-538-2773
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL881010133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered