Nguyen, Lan Ngoc
Nguyen, Lan Ngoc is an individual health care provider with primary practice located at 80 Phoenix Ave , Waterbury CT 06702-1418. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Nguyen, Lan Ngoc can be contacted via phone (203) 756-8021.Contact Information
Primary practice address
80 Phoenix Ave
Waterbury CT 06702-1418
Phone: (203) 756-8021
Fax: (203) 596-9038
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 005463 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 364SP0200X | 5463 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5463 | Connecticut |
Profile Details
NPI number | 1326472002 |
---|---|
LBN Legal business name | Nguyen, Lan Ngoc |
Credentials | FNP/APRN |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 29th, 2013 |
Last updated | Jun 11th, 2024 - about 3 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326472002 | NPPES |
Connecticut | MEDICAID | 004236130 | |
Connecticut | Other | 1326472002 | |
Connecticut | Other | 561230 |
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