KRISA SOMPONG NGUYEN


Address: 2697 Omaha Ave, Clovis, CA 93619-8478
Phone: 5598407455

KRISA SOMPONG NGUYEN (NPI# 1427431139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427431139
Entity Type Individual
Full Name KRISA SOMPONG NGUYEN
Credential FNP
Practice Address 2697 Omaha Ave
Clovis
CA 93619-8478
Practice Telephone 5598407455
Enumeration Date 2015-06-30
Last Update Date 2015-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
NP95002623 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2697 OMAHA AVE
City CLOVIS
State CA
Zip Code 93619-8478

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1942845847 Victoria Jessica Vang Nurse Practitioner 1555 Shaw Ave Ste 101, Clovis, CA 93611-4096 2019-11-14
1871146464 Stacey Chavez Nurse Practitioner 105 Redwing, Clovis, NM 88101-9597 2019-07-22
1679132468 Justine Nicole Nunez Nurse Practitioner 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 2019-06-06
1184047631 Patricia Painter Nurse Practitioner 716 E Tierra Blanca Rd, Clovis, NM 88101-3753 2014-02-03
1962714410 Clovis Quickcare LLC Nurse Practitioner 2000 W 21st St Ste E3, Clovis, NM 88101-4093 2010-07-12
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Competitor

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City CLOVIS
Zip Code 93619

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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