Provider Demographics
NPI:1992034391
Name:NGUYEN, PHUONG-ANH CHRISTY (FNP)
Entity Type:Individual
Prefix:
First Name:PHUONG-ANH
Middle Name:CHRISTY
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 W MEDICAL CENTER BLVD STE 600A
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4233
Mailing Address - Country:US
Mailing Address - Phone:281-332-4596
Mailing Address - Fax:281-335-9610
Practice Address - Street 1:450 W MEDICAL CENTER BLVD STE 600A
Practice Address - Street 2:
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4233
Practice Address - Country:US
Practice Address - Phone:281-332-4596
Practice Address - Fax:281-332-9610
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-14
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX502558363LF0000X
TXAP118218363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily