Provider Demographics
NPI:1619775087
Name:VU, TUANANH NGUYEN (NURSE PRACTITIONER)
Entity type:Individual
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First Name:TUANANH
Middle Name:NGUYEN
Last Name:VU
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Gender:
Credentials:NURSE PRACTITIONER
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Other - First Name:
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Mailing Address - Street 1:5750 CHANDLER CT
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91739-2445
Mailing Address - Country:US
Mailing Address - Phone:909-241-9639
Mailing Address - Fax:909-532-8015
Practice Address - Street 1:1100 SAN BERNARDINO RD STE 1100
Practice Address - Street 2:
Practice Address - City:UPLAND
Practice Address - State:CA
Practice Address - Zip Code:91786-4952
Practice Address - Country:US
Practice Address - Phone:626-218-7593
Practice Address - Fax:909-532-8015
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA95033012363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology