Provider Demographics
NPI:1649843814
Name:NGUYEN, THUONG T CHRISTINE LE (APN)
Entity type:Individual
Prefix:MS
First Name:THUONG T CHRISTINE
Middle Name:LE
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MS
Other - First Name:THUONG CHRISTINE
Other - Middle Name:LE
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:FNP, APN, RN
Mailing Address - Street 1:533 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-1923
Mailing Address - Country:US
Mailing Address - Phone:973-546-6844
Mailing Address - Fax:
Practice Address - Street 1:533 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011-1923
Practice Address - Country:US
Practice Address - Phone:973-546-6844
Practice Address - Fax:973-546-7707
Is Sole Proprietor?:No
Enumeration Date:2021-07-23
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ01178700363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner