Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 26592 | TN |
NPI | 1013559210 |
---|---|
Provider Name | Lynn Ton Nguyen |
First Address | Raleigh, NC 27603-4080 |
Second Address | Raleigh, NC 27610-1552 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/10/2019 |
Last Update Date | 26/10/2021 |