Provider Demographics
NPI:1730976051
Name:NGUYEN, BAO DUY QUOC (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:BAO
Middle Name:DUY QUOC
Last Name:NGUYEN
Suffix:
Gender:M
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3134 LANDINGS CIR APT 411
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-0023
Mailing Address - Country:US
Mailing Address - Phone:571-208-6516
Mailing Address - Fax:
Practice Address - Street 1:3134 LANDINGS CIR APT 411
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32824-0023
Practice Address - Country:US
Practice Address - Phone:571-208-6516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-21
Last Update Date:2025-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11039029363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health