Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | R232123 | MD |
N | 363LP2300X | Nurse Practitioner - Primary Care | 780538 | TX |
NPI | 1063845741 |
---|---|
Provider Name | Hang Nguyen Tingzon |
First Address | Bethesda, MD 20814-3523 |
Second Address | Bethesda, MD 20814-3523 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2013 |
Last Update Date | 07/11/2018 |