Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD60847664 | WA |
Y | 2080P0210X | Pediatric Nephrologist | MD60847664 | WA |
NPI | 1770977324 |
---|---|
Provider Name | Elizabeth Dong Nguyen |
First Address | Seattle, WA 98105-3901 |
Second Address | Seattle, WA 98105-3901 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2015 |
Last Update Date | 18/08/2021 |