Provider Demographics
NPI:1144192824
Name:NGUYEN, ABIGAIL SUSAN (CNP)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:SUSAN
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:ABIGAIL
Other - Middle Name:SUSAN
Other - Last Name:BRAUN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2025 SLOAN PL STE 35
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-2092
Mailing Address - Country:US
Mailing Address - Phone:651-772-1572
Mailing Address - Fax:651-772-1889
Practice Address - Street 1:8325 CITY CENTRE DR
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-3605
Practice Address - Country:US
Practice Address - Phone:651-788-4444
Practice Address - Fax:651-731-0976
Is Sole Proprietor?:No
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN13349363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily