Provider Demographics
NPI:1104579713
Name:NGUYEN, DUYEN (LVN)
Entity type:Individual
Prefix:
First Name:DUYEN
Middle Name:
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:LVN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5944 ASHLEY CT
Mailing Address - Street 2:
Mailing Address - City:CHINO
Mailing Address - State:CA
Mailing Address - Zip Code:91710-5384
Mailing Address - Country:US
Mailing Address - Phone:626-246-5593
Mailing Address - Fax:
Practice Address - Street 1:5944 ASHLEY CT
Practice Address - Street 2:
Practice Address - City:CHINO
Practice Address - State:CA
Practice Address - Zip Code:91710-5384
Practice Address - Country:US
Practice Address - Phone:626-246-5593
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-02
Last Update Date:2022-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAF3176643164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse