Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 280868 | MA |
NPI | 1033483383 |
---|---|
Provider Name | Mrs. Huong Nguyen Madrigal |
First Address | Saugus, MA 01906-4076 |
Second Address | Woburn, MA 01801-6297 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2012 |
Last Update Date | 19/10/2016 |