Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 57011901 | OH |
Y | 2080P0210X | Pediatric Nephrologist | 35-135579 | OH |
N | 2080P0210X | Pediatric Nephrologist | MT196036 | PA |
NPI | 1336359678 |
---|---|
Provider Name | Christina Rae Nguyen |
First Address | Cleveland, OH 44106-1716 |
Second Address | Cleveland, OH 44106-1716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 04/06/2020 |