Provider Demographics
NPI:1235863192
Name:NGUYEN, MICHELLE MARIE (MSN, APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:MARIE
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 402 BOX 1242
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09180-1013
Mailing Address - Country:US
Mailing Address - Phone:915-203-6378
Mailing Address - Fax:
Practice Address - Street 1:607 CAMDEN ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215-1610
Practice Address - Country:US
Practice Address - Phone:210-253-3426
Practice Address - Fax:210-227-6951
Is Sole Proprietor?:No
Enumeration Date:2022-07-14
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP1052274363LF0000X, 363LF0000X
TX1052274363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily