Provider Demographics
NPI:1376340026
Name:VU, CHRISTYLYNN (FNP-BC)
Entity type:Individual
Prefix:
First Name:CHRISTYLYNN
Middle Name:
Last Name:VU
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8391 HAZARD AVE
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CA
Mailing Address - Zip Code:92683-4524
Mailing Address - Country:US
Mailing Address - Phone:714-272-8186
Mailing Address - Fax:
Practice Address - Street 1:901 S COAST DRIVE
Practice Address - Street 2:SUITE 120B, STUDIO 35
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626
Practice Address - Country:US
Practice Address - Phone:714-410-2249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95034161363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily