Provider Demographics
NPI:1457112427
Name:QUINTANA, TRANG THUY NGUYEN (MSN, FNP)
Entity Type:Individual
Prefix:
First Name:TRANG
Middle Name:THUY NGUYEN
Last Name:QUINTANA
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:TRANG
Other - Middle Name:THUY
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2707 IRON WOOD CT
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91915-1712
Mailing Address - Country:US
Mailing Address - Phone:619-792-7955
Mailing Address - Fax:
Practice Address - Street 1:2707 IRON WOOD CT
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91915-1712
Practice Address - Country:US
Practice Address - Phone:619-792-7955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-17
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95185831163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse