Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2100X | Nurse Practitioner - Acute Care | 0991415 | CO |
Y | 363LC0200X | Nurse Practitioner - Critical Care Medicine | APN.0991415-NP | CO |
NPI | 1578966198 |
---|---|
Provider Name | Nicholas Vuong |
First Address | Aurora, CO 80042-0429 |
Second Address | Aurora, CO 80045-2545 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/09/2014 |
Last Update Date | 16/10/2018 |